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 $460.79 / $528.51 / $633.70	Professional		$460.79	$528.51	$633.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.69 / $543.88 / $757.75	Professional		$429.69	$543.88	$757.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $429.68 / $429.68 / $429.68	Facility		$429.68	$429.68	$429.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.70 / $676.27 / $1,090.39	Professional		$490.70	$676.27	$1,090.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,798.65	Facility		$55.00	$55.00	$5,798.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,076.00 / $5,098.60 / $5,098.60	Professional		$5,076.00	$5,098.60	$5,098.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.59 / $658.93 / $1,155.59	Facility		$488.59	$658.93	$1,155.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.17 / $685.59 / $799.86	Professional		$594.17	$685.59	$799.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $811.10 / $811.10 / $811.10	Professional		$811.10	$811.10	$811.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.59 / $673.03 / $1,197.91	Facility		$488.59	$673.03	$1,197.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.70 / $677.09 / $1,134.82	Professional		$490.70	$677.09	$1,134.82
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 $394.38 / $529.28 / $846.85	Professional		$394.38	$529.28	$846.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.09 / $446.09 / $611.05	Professional		$390.09	$446.09	$611.05