Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.32 / $3,682.00 / $12,941.00	Facility		$443.32	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.44 / $327.18 / $470.91	Professional		$207.44	$327.18	$470.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.84 / $353.03 / $579.97	Professional		$208.84	$353.03	$579.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $192.38 / $355.16	Facility		$192.38	$192.38	$355.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $4,939.00	Facility		$1,508.82	$2,001.65	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $359.45 / $585.74	Professional		$229.95	$359.45	$585.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.44 / $11,500.00 / $26,542.00	Facility		$1,516.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.00 / $2,681.20 / $3,150.08	Professional		$1,598.00	$2,681.20	$3,150.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.44 / $331.08 / $570.34	Facility		$207.44	$331.08	$570.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $416.62 / $652.10	Professional		$280.06	$416.62	$652.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $326.30 / $1,020.10	Professional		$5.00	$326.30	$1,020.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.12 / $339.12 / $626.19	Facility		$208.12	$339.12	$626.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.49 / $396.34 / $737.35	Professional		$236.49	$396.34	$737.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $355.89 / $567.04	Professional		$261.95	$355.89	$567.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $361.45 / $490.75	Professional		$309.20	$361.45	$490.75