Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,570.00 / $10,893.00	Facility		$707.95	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $582.72 / $865.39	Professional		$511.65	$582.72	$865.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.34 / $663.70 / $957.28	Professional		$522.34	$663.70	$957.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $537.00 / $551.55	Facility		$537.00	$537.00	$551.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $1,322.00 / $2,441.00	Facility		$642.88	$1,322.00	$2,441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.46 / $744.10 / $1,137.27	Professional		$565.46	$744.10	$1,137.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,518.29	Facility		$55.00	$55.00	$4,518.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.80 / $4,125.20 / $4,925.85	Professional		$4,040.80	$4,125.20	$4,925.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.90 / $676.70 / $1,235.43	Facility		$542.90	$676.70	$1,235.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.29 / $853.20 / $1,037.23	Professional		$641.29	$853.20	$1,037.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $909.20 / $1,444.80	Professional		$6.00	$909.20	$1,444.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.90 / $698.95 / $1,310.06	Facility		$542.90	$698.95	$1,310.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $774.81 / $1,422.09	Professional		$572.60	$774.81	$1,422.09
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.39 / $612.87 / $986.20	Professional		$440.39	$612.87	$986.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.94 / $553.45 / $747.56	Professional		$475.94	$553.45	$747.56