Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.10 / $1,291.95 / $3,559.75	Facility		$548.10	$1,291.95	$3,559.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.13 / $507.50 / $616.25	Professional		$395.13	$507.50	$616.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.47 / $958.29 / $1,591.13	Facility		$328.47	$958.29	$1,591.13
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 $471.25 / $1,649.38 / $3,229.53	Facility		$471.25	$1,649.38	$3,229.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $883.00 / $1,057.94	Professional		$883.00	$883.00	$1,057.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $3,443.75 / $3,443.75	Facility		$1,160.00	$3,443.75	$3,443.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,610.50 / $3,610.50 / $5,437.50	Professional		$3,610.50	$3,610.50	$5,437.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $725.00 / $1,069.97	Facility		$435.00	$725.00	$1,069.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $725.00 / $906.25	Professional		$725.00	$725.00	$906.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $906.25 / $1,631.25	Professional		$652.50	$906.25	$1,631.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.25 / $725.73 / $2,189.88	Facility		$471.25	$725.73	$2,189.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $870.00 / $1,268.75	Professional		$652.50	$870.00	$1,268.75
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $304.50 / $464.00	Professional		$304.50	$304.50	$464.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $255.08 / $725.00	Professional		$255.08	$255.08	$725.00