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 $483.41 / $555.83 / $664.88	Professional		$483.41	$555.83	$664.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.31 / $569.98 / $794.12	Professional		$450.31	$569.98	$794.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $450.15 / $450.15 / $450.15	Facility		$450.15	$450.15	$450.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.13 / $694.52 / $1,078.54	Professional		$511.13	$694.52	$1,078.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,749.44	Facility		$55.00	$55.00	$8,749.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,668.00 / $5,668.00 / $5,668.00	Professional		$5,668.00	$5,668.00	$5,668.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $666.65 / $1,148.33	Facility		$508.51	$666.65	$1,148.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.46 / $711.30 / $829.85	Professional		$616.46	$711.30	$829.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $508.51 / $823.71	Professional		$447.92	$508.51	$823.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $667.31 / $1,255.40	Facility		$508.51	$667.31	$1,255.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.13 / $704.20 / $1,198.15	Professional		$511.13	$704.20	$1,198.15
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 $429.14 / $568.75 / $901.33	Professional		$429.14	$568.75	$901.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.72 / $464.67 / $633.64	Professional		$404.72	$464.67	$633.64