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 $387.55 / $463.17 / $781.56	Professional		$387.55	$463.17	$781.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.10 / $828.28 / $2,459.44	Facility		$493.10	$828.28	$2,459.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.65 / $547.55 / $814.74	Professional		$408.65	$547.55	$814.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $437.40 / $437.40	Facility		$437.40	$437.40	$437.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.26 / $646.10 / $976.55	Professional		$478.26	$646.10	$976.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,800.30	Facility		$55.00	$55.00	$2,800.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.84 / $3,592.32 / $4,352.55	Professional		$3,485.84	$3,592.32	$4,352.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.67 / $633.45 / $1,077.28	Facility		$473.67	$633.45	$1,077.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $745.81 / $877.43	Professional		$536.21	$745.81	$877.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $671.40 / $671.40 / $671.40	Professional		$671.40	$671.40	$671.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.35 / $650.36 / $1,102.69	Facility		$477.35	$650.36	$1,102.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.26 / $658.16 / $1,017.56	Professional		$478.26	$658.16	$1,017.56
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $558.97 / $881.03	Professional		$414.60	$558.97	$881.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.03 / $473.67 / $650.65	Professional		$416.03	$473.67	$650.65