Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.55 / $1,343.52 / $3,726.43	Facility		$574.55	$1,343.52	$3,726.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $540.00 / $828.00	Professional		$392.40	$540.00	$828.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $1,756.80 / $3,722.40	Facility		$50.90	$1,756.80	$3,722.40
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 $479.62 / $1,652.47 / $3,208.43	Facility		$479.62	$1,652.47	$3,208.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $876.87 / $1,050.58	Professional		$381.60	$876.87	$1,050.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,420.00 / $3,420.00	Facility		$1,152.00	$3,420.00	$3,420.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $5,400.00	Professional		$3,600.00	$3,600.00	$5,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $720.00 / $1,012.95	Facility		$432.00	$720.00	$1,012.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $720.00 / $900.00	Professional		$684.00	$720.00	$900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $972.00 / $1,620.00	Professional		$720.00	$972.00	$1,620.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.06 / $756.03 / $2,593.64	Facility		$489.06	$756.03	$2,593.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $864.00 / $1,036.80	Professional		$576.00	$864.00	$1,036.80
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $495.00	Professional		$302.39	$302.39	$495.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $280.80 / $720.00	Professional		$228.90	$280.80	$720.00