Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $542.32 / $652.70	Professional		$474.84	$542.32	$652.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.99 / $557.74 / $762.37	Professional		$438.99	$557.74	$762.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $443.13 / $443.13 / $443.13	Facility		$443.13	$443.13	$443.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.94 / $677.76 / $1,115.09	Professional		$499.94	$677.76	$1,115.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,270.28	Facility		$55.00	$55.00	$11,270.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,378.40 / $3,464.64 / $4,091.70	Professional		$3,378.40	$3,464.64	$4,091.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.54 / $569.61 / $1,103.25	Facility		$460.54	$569.61	$1,103.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.67 / $697.71 / $814.00	Professional		$604.67	$697.71	$814.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $529.12 / $807.62	Professional		$443.61	$529.12	$807.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.54 / $569.61 / $1,232.23	Facility		$460.54	$569.61	$1,232.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.28 / $691.63 / $1,196.79	Professional		$498.28	$691.63	$1,196.79
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.44 / $568.48 / $872.24	Professional		$413.44	$568.48	$872.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $455.69 / $621.73	Professional		$396.98	$455.69	$621.73