Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $3,596.00 / $10,836.00	Facility		$519.92	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.17 / $366.82 / $505.77	Professional		$309.17	$366.82	$505.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.07 / $595.76 / $4,085.22	Facility		$351.07	$595.76	$4,085.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $384.54 / $535.74	Professional		$303.80	$384.54	$535.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $297.36 / $297.36 / $297.36	Facility		$297.36	$297.36	$297.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.64 / $465.76 / $717.02	Professional		$347.64	$465.76	$717.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,643.90	Facility		$55.00	$55.00	$2,643.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,441.60 / $2,511.36 / $2,687.40	Professional		$2,441.60	$2,511.36	$2,687.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.70 / $430.06 / $751.79	Facility		$329.70	$430.06	$751.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.88 / $489.46 / $575.84	Professional		$415.88	$489.46	$575.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $458.30	Professional		$458.30	$458.30	$458.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.70 / $430.40 / $846.94	Facility		$329.70	$430.40	$846.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $470.50 / $760.98	Professional		$356.66	$470.50	$760.98
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $390.63 / $603.70	Professional		$284.10	$390.63	$603.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $315.11 / $432.88	Professional		$273.02	$315.11	$432.88