Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.64 / $3,570.00 / $10,836.00	Facility		$646.64	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $404.46 / $634.50	Professional		$331.66	$404.46	$634.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.50 / $709.25 / $3,017.00	Facility		$419.50	$709.25	$3,017.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.58 / $464.94 / $684.12	Professional		$349.58	$464.94	$684.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $375.56 / $375.56 / $375.56	Facility		$375.56	$375.56	$375.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.58 / $551.28 / $836.75	Professional		$407.58	$551.28	$836.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,393.65	Facility		$55.00	$55.00	$2,393.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.92 / $3,075.36 / $3,714.83	Professional		$2,979.92	$3,075.36	$3,714.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.46 / $538.00 / $916.84	Facility		$404.46	$538.00	$916.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.93 / $636.94 / $749.34	Professional		$457.93	$636.94	$749.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $555.90 / $555.90	Professional		$555.90	$555.90	$555.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.50 / $546.92 / $938.46	Facility		$408.50	$546.92	$938.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $560.75 / $870.80	Professional		$411.27	$560.75	$870.80
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 $353.10 / $480.41 / $750.35	Professional		$353.10	$480.41	$750.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $404.15 / $556.00	Professional		$355.30	$404.15	$556.00