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 $336.11 / $397.59 / $637.64	Professional		$336.11	$397.59	$637.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.75 / $645.01 / $2,101.21	Facility		$391.75	$645.01	$2,101.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $472.05 / $686.98	Professional		$352.30	$472.05	$686.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $375.91 / $375.91 / $375.91	Facility		$375.91	$375.91	$375.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.73 / $530.77 / $833.02	Professional		$404.73	$530.77	$833.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,217.50	Facility		$55.00	$55.00	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,015.20 / $3,112.72 / $3,743.40	Professional		$3,015.20	$3,112.72	$3,743.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.96 / $538.48 / $930.00	Facility		$406.96	$538.48	$930.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.20 / $642.88 / $756.32	Professional		$462.20	$642.88	$756.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.10 / $540.10 / $540.10	Professional		$540.10	$540.10	$540.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.89 / $541.11 / $1,080.00	Facility		$409.89	$541.11	$1,080.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.26 / $547.86 / $871.66	Professional		$407.26	$547.86	$871.66
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 $327.02 / $437.28 / $738.68	Professional		$327.02	$437.28	$738.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $406.96 / $562.03	Professional		$358.61	$406.96	$562.03