Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.86 / $2,287.00 / $6,409.37	Facility		$986.86	$2,287.00	$6,409.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $979.03 / $1,109.56	Professional		$711.43	$979.03	$1,109.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.29 / $1,914.68 / $3,179.09	Facility		$656.29	$1,914.68	$3,179.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $691.85 / $1,827.52	Professional		$5.00	$691.85	$1,827.52
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 $848.49 / $2,969.72 / $5,815.93	Facility		$848.49	$2,969.72	$5,815.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.72 / $1,443.72 / $1,729.74	Professional		$1,443.72	$1,443.72	$1,729.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,088.59 / $6,200.51 / $6,200.51	Facility		$2,088.59	$6,200.51	$6,200.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,500.74 / $6,500.74 / $9,790.28	Professional		$6,500.74	$6,500.74	$9,790.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,305.36 / $1,926.46	Facility		$783.22	$1,305.36	$1,926.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.09 / $1,305.36 / $1,631.71	Professional		$1,240.09	$1,305.36	$1,631.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $848.49 / $1,631.71 / $4,568.80	Professional		$848.49	$1,631.71	$4,568.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.10 / $2,996.09 / $6,919.59	Facility		$890.10	$2,996.09	$6,919.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,566.44 / $2,284.40	Professional		$1,174.83	$1,566.44	$2,284.40
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $932.03	Professional		$548.26	$548.26	$932.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $201.36 / $1,305.36	Professional		$201.36	$201.36	$1,305.36