Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.39 / $3,596.00 / $10,836.00	Facility		$625.39	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $438.19 / $674.52	Professional		$386.94	$438.19	$674.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $731.98 / $933.05	Professional		$436.87	$731.98	$933.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $481.25 / $481.25 / $481.25	Facility		$481.25	$481.25	$481.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.50 / $628.58 / $943.42	Professional		$493.50	$628.58	$943.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,346.60	Facility		$55.00	$55.00	$5,346.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,535.02 / $3,535.02 / $4,211.70	Professional		$3,535.02	$3,535.02	$4,211.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.42 / $566.91 / $1,043.39	Facility		$429.42	$566.91	$1,043.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $513.08 / $713.65 / $839.59	Professional		$513.08	$713.65	$839.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $544.79 / $544.79	Professional		$544.79	$544.79	$544.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.42 / $567.89 / $1,098.29	Facility		$429.42	$567.89	$1,098.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.93 / $633.69 / $966.06	Professional		$494.93	$633.69	$966.06
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 $378.00 / $526.01 / $812.47	Professional		$378.00	$526.01	$812.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.09 / $449.68 / $622.34	Professional		$398.09	$449.68	$622.34