Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $3,311.31	Facility		$436.52	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $691.83	Professional		$295.12	$537.03	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $1,548.82 / $3,715.35	Facility		$53.70	$1,548.82	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $3,235.94	Facility		$467.74	$549.54	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $870.96 / $1,047.13	Professional		$346.74	$870.96	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $5,370.32	Professional		$3,630.78	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,348.96	Facility		$501.19	$724.44	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,548.82	Professional		$707.95	$776.25	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $2,137.96	Facility		$457.09	$724.44	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,047.13	Professional		$380.19	$724.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $724.44	Facility		$257.04	$302.00	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $489.78	Professional		$302.00	$302.00	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $724.44 / $724.44	Professional		$281.84	$724.44	$724.44