Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.33 / $3,445.00 / $10,234.00	Facility		$469.33	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.37 / $416.72 / $602.04	Professional		$289.37	$416.72	$602.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.73 / $492.32 / $1,945.83	Facility		$261.73	$492.32	$1,945.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.01 / $401.89 / $673.17	Professional		$258.01	$401.89	$673.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $289.29 / $494.12	Facility		$289.29	$289.29	$494.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.29 / $494.49 / $2,530.00	Facility		$417.29	$494.49	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $468.65 / $755.26	Professional		$303.64	$468.65	$755.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,157.17	Facility		$55.00	$55.00	$2,157.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.96 / $3,388.88 / $4,011.23	Professional		$2,226.96	$3,388.88	$4,011.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $420.91 / $729.67	Facility		$285.00	$420.91	$729.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.76 / $561.94 / $827.35	Professional		$392.76	$561.94	$827.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $330.00 / $1,265.09	Professional		$5.00	$330.00	$1,265.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $426.34 / $827.37	Facility		$286.00	$426.34	$827.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $516.25 / $938.33	Professional		$320.81	$516.25	$938.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $453.33 / $720.75	Professional		$318.44	$453.33	$720.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.29 / $458.28 / $622.27	Professional		$392.29	$458.28	$622.27