Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,640.00 / $7,542.00	Facility		$652.00	$2,640.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $410.73 / $657.20	Professional		$321.10	$410.73	$657.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $423.16 / $579.57	Professional		$341.77	$423.16	$579.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $314.13 / $314.13 / $328.00	Facility		$314.13	$314.13	$328.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,323.00	Facility		$900.00	$900.00	$1,323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.17 / $463.38 / $681.88	Professional		$353.17	$463.38	$681.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,930.50	Facility		$55.00	$55.00	$3,930.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.64 / $2,827.76 / $3,100.58	Professional		$2,740.64	$2,827.76	$3,100.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.09 / $438.13 / $661.43	Facility		$337.09	$438.13	$661.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.62 / $472.64 / $618.07	Professional		$352.62	$472.64	$618.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.32 / $373.78 / $438.13	Professional		$331.32	$373.78	$438.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.43 / $439.43 / $700.10	Facility		$337.43	$439.43	$700.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.62 / $481.59 / $717.82	Professional		$352.62	$481.59	$717.82
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,986.00 / $8,759.00	Facility		$390.00	$1,986.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $386.69 / $584.35	Professional		$292.33	$386.69	$584.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $352.62 / $492.90	Professional		$310.30	$352.62	$492.90