Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.28 / $1,262.09 / $3,500.61	Facility		$530.28	$1,262.09	$3,500.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.77 / $378.77 / $777.83	Professional		$378.77	$378.77	$777.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.40 / $1,465.46 / $4,051.46	Facility		$694.40	$1,465.46	$4,051.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $1,100.22	Professional		$676.37	$676.37	$1,100.22
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 $450.56 / $1,552.53 / $3,013.65	Facility		$450.56	$1,552.53	$3,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.48 / $823.90 / $987.13	Professional		$358.48	$823.90	$987.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.19 / $3,212.76 / $3,212.76	Facility		$1,082.19	$3,212.76	$3,212.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,381.85 / $3,381.85 / $5,072.78	Professional		$3,381.85	$3,381.85	$5,072.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.82 / $676.37 / $951.51	Facility		$405.82	$676.37	$951.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.54 / $676.37 / $845.46	Professional		$642.54	$676.37	$845.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $845.46 / $2,367.30	Professional		$439.64	$845.46	$2,367.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.42 / $710.19 / $2,435.35	Facility		$459.42	$710.19	$2,435.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $811.64 / $1,183.65	Professional		$541.10	$811.64	$1,183.65
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $432.88	Professional		$284.08	$284.08	$432.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $263.77 / $676.37	Professional		$180.36	$263.77	$676.37