Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.26 / $3,596.00 / $10,836.00	Facility		$434.26	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $263.52 / $407.94	Professional		$215.13	$263.52	$407.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $328.78 / $452.70	Professional		$256.70	$328.78	$452.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $240.66 / $240.66 / $240.66	Facility		$240.66	$240.66	$240.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $372.00 / $570.00	Professional		$268.75	$372.00	$570.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,160.62	Facility		$55.00	$55.00	$2,160.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $2,720.00 / $2,720.00	Professional		$2,720.00	$2,720.00	$2,720.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $373.76 / $774.66	Facility		$263.19	$373.76	$774.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.75 / $412.75 / $485.59	Professional		$296.75	$412.75	$485.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $423.90 / $423.90	Professional		$423.90	$423.90	$423.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $376.24 / $774.66	Facility		$263.52	$376.24	$774.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $373.88 / $581.26	Professional		$268.83	$373.88	$581.26
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.98 / $319.77 / $500.63	Professional		$232.98	$319.77	$500.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $263.19 / $359.09	Professional		$230.24	$263.19	$359.09