Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,172.00 / $7,513.00	Facility		$515.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $454.52 / $624.37	Professional		$391.07	$454.52	$624.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.43 / $400.70 / $462.12	Professional		$382.43	$400.70	$462.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $382.09 / $382.09 / $382.09	Facility		$382.09	$382.09	$382.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $567.32 / $881.61	Professional		$435.61	$567.32	$881.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,444.45	Facility		$55.00	$55.00	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,095.68 / $3,163.76 / $3,543.15	Professional		$3,095.68	$3,163.76	$3,543.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.25 / $543.91 / $931.36	Facility		$416.25	$543.91	$931.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.41 / $632.49 / $744.10	Professional		$537.41	$632.49	$744.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.60 / $581.60 / $581.60	Professional		$581.60	$581.60	$581.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.25 / $551.40 / $1,073.48	Facility		$416.25	$551.40	$1,073.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.50 / $575.85 / $939.80	Professional		$436.50	$575.85	$939.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.79 / $482.34 / $756.70	Professional		$350.79	$482.34	$756.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.82 / $402.82 / $558.44	Professional		$352.82	$402.82	$558.44