Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $3,596.00 / $10,836.00	Facility		$358.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $256.77 / $308.27	Professional		$217.79	$256.77	$308.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $264.93 / $369.10	Professional		$209.30	$264.93	$369.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $211.93 / $211.93 / $211.93	Facility		$211.93	$211.93	$211.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.36 / $322.52 / $533.73	Professional		$237.36	$322.52	$533.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,300.40	Facility		$55.00	$55.00	$2,300.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.08 / $1,647.60 / $1,950.60	Professional		$1,608.08	$1,647.60	$1,950.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $271.20 / $522.60	Facility		$219.37	$271.20	$522.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $332.36 / $387.75	Professional		$288.04	$332.36	$387.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $253.06 / $383.90	Professional		$212.25	$253.06	$383.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $271.20 / $583.51	Facility		$219.37	$271.20	$583.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.36 / $329.21 / $582.75	Professional		$237.36	$329.21	$582.75
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 $196.04 / $263.88 / $416.59	Professional		$196.04	$263.88	$416.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $216.97 / $296.14	Professional		$189.10	$216.97	$296.14