Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $3,311.31	Facility		$436.52	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $724.44	Professional		$436.52	$549.54	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,023.29 / $1,621.81	Facility		$354.81	$1,023.29	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $3,235.94	Facility		$467.74	$707.95	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $5,495.41	Professional		$3,630.78	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,348.96	Facility		$549.54	$724.44	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $870.96	Professional		$436.52	$575.44	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,548.82	Professional		$724.44	$776.25	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,995.26	Facility		$512.86	$724.44	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,258.93	Professional		$79.43	$758.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $724.44	Facility		$263.03	$302.00	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Professional		$302.00	$302.00	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $724.44 / $724.44	Professional		$199.53	$724.44	$724.44