Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,570.00 / $10,893.00	Facility		$732.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.04 / $630.39 / $935.90	Professional		$552.04	$630.39	$935.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.42 / $715.70 / $997.12	Professional		$565.42	$715.70	$997.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $574.73 / $574.73 / $592.45	Facility		$574.73	$574.73	$592.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $697.07 / $2,024.00 / $4,619.00	Facility		$697.07	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.96 / $795.15 / $1,208.99	Professional		$590.96	$795.15	$1,208.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,572.40	Facility		$55.00	$55.00	$5,572.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,535.58 / $4,535.58 / $5,321.10	Professional		$4,535.58	$4,535.58	$5,321.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $586.54 / $750.89 / $1,306.64	Facility		$586.54	$750.89	$1,306.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $692.63 / $921.50 / $1,084.11	Professional		$692.63	$921.50	$1,084.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.08 / $777.14 / $1,277.35	Professional		$592.08	$777.14	$1,277.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.54 / $760.42 / $1,376.41	Facility		$586.54	$760.42	$1,376.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.21 / $836.00 / $1,507.84	Professional		$604.21	$836.00	$1,507.84
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.63 / $658.57 / $1,045.59	Professional		$479.63	$658.57	$1,045.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $597.62 / $806.91	Professional		$514.04	$597.62	$806.91