Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.18 / $3,596.00 / $10,836.00	Facility		$373.18	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $268.82 / $371.43	Professional		$219.87	$268.82	$371.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $277.01 / $385.93	Professional		$218.85	$277.01	$385.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $216.60 / $216.60 / $216.60	Facility		$216.60	$216.60	$216.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $333.19 / $541.19	Professional		$251.81	$333.19	$541.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,783.68	Facility		$55.00	$55.00	$4,783.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,177.80 / $2,177.80 / $2,177.80	Professional		$2,177.80	$2,177.80	$2,177.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $324.49 / $540.17	Facility		$229.70	$324.49	$540.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $353.35 / $415.71	Professional		$254.05	$353.35	$415.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.80 / $407.80 / $407.80	Professional		$407.80	$407.80	$407.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $325.77 / $609.21	Facility		$229.70	$325.77	$609.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.04 / $335.75 / $554.75	Professional		$252.04	$335.75	$554.75
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.26 / $279.48 / $431.92	Professional		$203.26	$279.48	$431.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $226.17 / $308.26	Professional		$197.11	$226.17	$308.26