Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $1,343.52 / $3,726.43	Facility		$564.48	$1,343.52	$3,726.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $540.00 / $828.00	Professional		$292.60	$540.00	$828.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $1,728.00 / $3,722.40	Facility		$53.91	$1,728.00	$3,722.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,689.81 / $3,817.28	Facility		$464.00	$1,689.81	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $876.87 / $1,050.58	Professional		$345.60	$876.87	$1,050.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,420.00 / $3,420.00	Facility		$1,152.00	$3,420.00	$3,420.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $5,400.00	Professional		$3,600.00	$3,600.00	$5,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $720.00 / $1,008.49	Facility		$432.00	$720.00	$1,008.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $720.00 / $900.00	Professional		$684.00	$720.00	$900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $900.00 / $1,620.00	Professional		$648.00	$900.00	$1,620.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.20 / $720.00 / $2,175.21	Facility		$439.20	$720.00	$2,175.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $792.00 / $1,008.00	Professional		$554.40	$792.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $443.52	Professional		$302.39	$302.39	$443.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $280.80 / $720.00	Professional		$228.90	$280.80	$720.00