Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,682.00 / $12,281.00	Facility		$657.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.19 / $525.41 / $837.72	Professional		$443.19	$525.41	$837.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.35 / $567.04 / $831.39	Professional		$426.35	$567.04	$831.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $496.68 / $510.14	Facility		$80.00	$496.68	$510.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $592.54 / $592.54	Facility		$592.54	$592.54	$592.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $700.13 / $1,036.00	Professional		$523.79	$700.13	$1,036.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,757.43	Facility		$55.00	$55.00	$4,757.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,287.40 / $6,287.40 / $6,287.40	Professional		$6,287.40	$6,287.40	$6,287.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.25 / $576.65 / $1,136.99	Facility		$470.25	$576.65	$1,136.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.08 / $770.49 / $955.41	Professional		$642.08	$770.49	$955.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.10 / $601.96 / $643.39	Professional		$570.10	$601.96	$643.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.20 / $589.16 / $1,136.99	Facility		$473.20	$589.16	$1,136.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.94 / $714.20 / $1,062.16	Professional		$527.94	$714.20	$1,062.16
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.91 / $543.45 / $844.44	Professional		$404.91	$543.45	$844.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.39 / $498.23 / $688.66	Professional		$438.39	$498.23	$688.66