Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,594.00 / $7,542.00	Facility		$652.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $435.43 / $696.24	Professional		$364.29	$435.43	$696.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.47 / $744.97 / $3,025.88	Facility		$441.47	$744.97	$3,025.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.97 / $511.81 / $744.85	Professional		$381.97	$511.81	$744.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.61 / $407.61 / $407.61	Facility		$407.61	$407.61	$407.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.05 / $580.39 / $911.09	Professional		$440.05	$580.39	$911.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,777.50	Facility		$55.00	$55.00	$4,777.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.36 / $3,366.24 / $4,043.78	Professional		$3,255.36	$3,366.24	$4,043.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.88 / $584.32 / $974.90	Facility		$439.88	$584.32	$974.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $694.34 / $816.88	Professional		$499.20	$694.34	$816.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $586.20 / $586.20 / $586.20	Professional		$586.20	$586.20	$586.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.26 / $584.36 / $997.90	Facility		$444.26	$584.36	$997.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.55 / $599.69 / $954.92	Professional		$442.55	$599.69	$954.92
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 $357.53 / $497.18 / $795.27	Professional		$357.53	$497.18	$795.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.32 / $439.88 / $606.79	Professional		$387.32	$439.88	$606.79