Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,594.00 / $7,542.00	Facility		$649.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $354.55 / $579.10	Professional		$305.45	$354.55	$579.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $598.60 / $1,965.79	Facility		$356.22	$598.60	$1,965.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.51 / $461.89 / $641.04	Professional		$363.51	$461.89	$641.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $345.31 / $345.31 / $345.31	Facility		$345.31	$345.31	$345.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.04 / $489.52 / $722.54	Professional		$371.04	$489.52	$722.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,213.19	Facility		$55.00	$55.00	$2,213.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.72 / $2,834.88 / $3,435.53	Professional		$2,754.72	$2,834.88	$3,435.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.61 / $485.69 / $803.94	Facility		$373.61	$485.69	$803.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $588.92 / $692.86	Professional		$423.41	$588.92	$692.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $522.00 / $522.00	Professional		$522.00	$522.00	$522.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.61 / $492.65 / $948.21	Facility		$373.61	$492.65	$948.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.31 / $508.87 / $783.40	Professional		$373.31	$508.87	$783.40
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 $303.97 / $407.32 / $680.70	Professional		$303.97	$407.32	$680.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $373.61 / $514.09	Professional		$328.52	$373.61	$514.09