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 $423.31 / $487.34 / $587.46	Professional		$423.31	$487.34	$587.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.49 / $503.75 / $704.01	Professional		$396.49	$503.75	$704.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $395.73 / $395.73 / $395.73	Facility		$395.73	$395.73	$395.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $600.00 / $930.09	Professional		$455.32	$600.00	$930.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,994.15	Facility		$55.00	$55.00	$1,994.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,680.88 / $4,680.88 / $4,680.88	Professional		$4,680.88	$4,680.88	$4,680.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $556.60 / $1,013.16	Facility		$434.00	$556.60	$1,013.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $631.25 / $736.45	Professional		$547.08	$631.25	$736.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.21 / $720.14 / $1,572.73	Professional		$492.21	$720.14	$1,572.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $572.73 / $1,201.52	Facility		$434.00	$572.73	$1,201.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $616.74 / $1,062.51	Professional		$455.32	$616.74	$1,062.51
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 $374.18 / $490.77 / $785.56	Professional		$374.18	$490.77	$785.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $413.33 / $560.76	Professional		$359.17	$413.33	$560.76