Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.90 / $1,300.45 / $3,644.55	Facility		$489.90	$1,300.45	$3,644.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.67 / $489.90 / $593.82	Professional		$415.67	$489.90	$593.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $742.27 / $3,637.12	Facility		$80.11	$742.27	$3,637.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $742.27	Professional		$742.27	$742.27	$742.27
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 $478.35 / $1,742.09 / $3,934.01	Facility		$478.35	$1,742.09	$3,934.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $904.45 / $1,083.64	Professional		$393.40	$904.45	$1,083.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.63 / $3,525.78 / $3,525.78	Facility		$1,187.63	$3,525.78	$3,525.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,711.35 / $3,711.35 / $5,567.03	Professional		$3,711.35	$3,711.35	$5,567.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.78 / $742.27 / $1,113.41	Facility		$452.78	$742.27	$1,113.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $705.16 / $742.27 / $927.84	Professional		$705.16	$742.27	$927.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $927.84 / $2,597.94	Professional		$482.48	$927.84	$2,597.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.06 / $742.27 / $2,242.65	Facility		$497.06	$742.27	$2,242.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $890.72 / $1,298.97	Professional		$593.82	$890.72	$1,298.97
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $510.31	Professional		$311.75	$311.75	$510.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.76 / $699.20 / $742.27	Professional		$681.76	$699.20	$742.27