Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $1,051.20 / $2,922.96	Facility		$360.00	$1,051.20	$2,922.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $396.00 / $510.00	Professional		$336.00	$396.00	$510.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
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 $390.00 / $1,365.00 / $2,673.96	Facility		$390.00	$1,365.00	$2,673.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.09 / $731.09 / $875.93	Professional		$731.09	$731.09	$875.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $2,850.00 / $2,850.00	Facility		$960.00	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $600.00 / $885.60	Facility		$360.00	$600.00	$885.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $750.00	Professional		$600.00	$600.00	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $750.00 / $1,350.00	Professional		$540.00	$750.00	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $600.60 / $1,812.68	Facility		$390.00	$600.60	$1,812.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $720.00 / $1,050.00	Professional		$540.00	$720.00	$1,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $384.00	Professional		$252.00	$252.00	$384.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $600.00	Professional		$240.00	$240.00	$600.00