Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.97 / $3,596.00 / $10,836.00	Facility		$316.97	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $229.35 / $276.12	Professional		$200.68	$229.35	$276.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $235.71 / $323.92	Professional		$186.22	$235.71	$323.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $186.55 / $186.55	Facility		$186.55	$186.55	$186.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $280.44 / $445.95	Professional		$211.31	$280.44	$445.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $946.91	Facility		$55.00	$55.00	$946.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.48 / $1,462.40 / $1,723.35	Professional		$1,424.48	$1,462.40	$1,723.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $240.13 / $465.30	Facility		$194.09	$240.13	$465.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.83 / $294.02 / $343.04	Professional		$254.83	$294.02	$343.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $223.68 / $340.38	Professional		$186.96	$223.68	$340.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $240.13 / $519.15	Facility		$194.09	$240.13	$519.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $288.57 / $488.82	Professional		$210.00	$288.57	$488.82
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 $164.61 / $219.48 / $353.80	Professional		$164.61	$219.48	$353.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $192.10 / $262.02	Professional		$167.30	$192.10	$262.02