Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.98 / $3,596.00 / $10,836.00	Facility		$437.98	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $315.14 / $424.70	Professional		$270.57	$315.14	$424.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $324.93 / $452.70	Professional		$256.70	$324.93	$452.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $253.67 / $253.67 / $253.67	Facility		$253.67	$253.67	$253.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $384.27 / $611.51	Professional		$291.98	$384.27	$611.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,303.83	Facility		$55.00	$55.00	$1,303.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,068.00 / $14,851.23 / $14,851.23	Professional		$3,068.00	$14,851.23	$14,851.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.31 / $378.86 / $635.58	Facility		$291.31	$378.86	$635.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $406.59 / $474.36	Professional		$352.38	$406.59	$474.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.10 / $465.10 / $465.10	Professional		$465.10	$465.10	$465.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.31 / $382.70 / $715.66	Facility		$291.31	$382.70	$715.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $398.39 / $647.71	Professional		$291.98	$398.39	$647.71
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 $239.34 / $323.87 / $508.61	Professional		$239.34	$323.87	$508.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $265.44 / $361.73	Professional		$231.34	$265.44	$361.73