Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $1,331.52 / $3,731.60	Facility		$456.00	$1,331.52	$3,731.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $501.60 / $646.00	Professional		$425.60	$501.60	$646.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $760.00 / $760.00	Professional		$646.00	$760.00	$760.00
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 $489.77 / $1,783.69 / $4,029.26	Facility		$489.77	$1,783.69	$4,029.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.80 / $925.90 / $1,109.33	Professional		$364.80	$925.90	$1,109.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $1,065.53	Facility		$456.00	$760.00	$1,065.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $760.00 / $1,140.00	Professional		$722.00	$760.00	$1,140.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $950.00 / $1,710.00	Professional		$684.00	$950.00	$1,710.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.22 / $1,744.15 / $4,094.42	Facility		$518.22	$1,744.15	$4,094.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.60 / $912.00 / $1,094.40	Professional		$444.60	$912.00	$1,094.40
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $486.40	Professional		$319.20	$319.20	$486.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $760.00	Professional		$304.00	$304.00	$760.00