Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,570.00 / $10,893.00	Facility		$797.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.86 / $510.00 / $859.40	Professional		$424.86	$510.00	$859.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.01 / $594.91 / $810.68	Professional		$470.01	$594.91	$810.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $479.37 / $483.25	Facility		$80.00	$479.37	$483.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Facility		$581.41	$581.41	$581.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.21 / $641.15 / $974.17	Professional		$471.21	$641.15	$974.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,916.68 / $11,500.00 / $26,542.00	Facility		$1,916.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,710.96 / $3,778.48 / $4,421.03	Professional		$3,710.96	$3,778.48	$4,421.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $577.12 / $918.89	Facility		$453.50	$577.12	$918.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.98 / $758.37 / $940.38	Professional		$631.98	$758.37	$940.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $531.29 / $531.29	Professional		$531.29	$531.29	$531.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.14 / $582.76 / $951.91	Facility		$455.14	$582.76	$951.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.96 / $666.41 / $1,025.24	Professional		$477.96	$666.41	$1,025.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $517.89 / $817.84	Professional		$387.06	$517.89	$817.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $487.80 / $681.47	Professional		$431.50	$487.80	$681.47