Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $1,329.86 / $3,726.94	Facility		$455.43	$1,329.86	$3,726.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.07 / $500.97 / $614.83	Professional		$425.07	$500.97	$614.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Professional		$759.05	$759.05	$759.05
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 $505.62 / $1,667.62 / $3,382.05	Facility		$505.62	$1,667.62	$3,382.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.34 / $924.59 / $1,107.77	Professional		$364.34	$924.59	$1,107.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.48 / $3,605.49 / $3,605.49	Facility		$1,214.48	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $1,063.00	Facility		$455.43	$759.05	$1,063.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.10 / $759.05 / $948.81	Professional		$721.10	$759.05	$948.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $948.81 / $2,656.68	Professional		$493.38	$948.81	$2,656.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.90 / $1,657.76 / $4,023.85	Facility		$530.90	$1,657.76	$4,023.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $910.86 / $1,328.34	Professional		$444.04	$910.86	$1,328.34
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $948.81	Facility		$759.05	$759.05	$948.81
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $521.85	Professional		$318.80	$318.80	$521.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $296.02 / $759.05	Professional		$106.20	$296.02	$759.05