Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.09 / $3,596.00 / $10,836.00	Facility		$415.09	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $299.51 / $360.35	Professional		$262.33	$299.51	$360.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $309.33 / $425.82	Professional		$244.39	$309.33	$425.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.75 / $245.75 / $245.75	Facility		$245.75	$245.75	$245.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $374.40 / $619.48	Professional		$274.95	$374.40	$619.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,260.62	Facility		$55.00	$55.00	$3,260.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.32 / $1,914.64 / $2,258.33	Professional		$1,866.32	$1,914.64	$2,258.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $314.45 / $609.69	Facility		$254.34	$314.45	$609.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.88 / $385.25 / $449.45	Professional		$333.88	$385.25	$449.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.09 / $293.44 / $445.99	Professional		$246.09	$293.44	$445.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $314.45 / $681.33	Facility		$254.34	$314.45	$681.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $382.09 / $675.53	Professional		$274.95	$382.09	$675.53
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 $228.38 / $306.00 / $485.30	Professional		$228.38	$306.00	$485.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $251.57 / $343.36	Professional		$219.20	$251.57	$343.36