Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,754.23	Facility		$363.08	$870.96	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $660.69	Professional		$363.08	$457.09	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
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 $389.05 / $588.84 / $2,691.53	Facility		$389.05	$588.84	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Professional		$724.44	$724.44	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $1,122.02	Facility		$416.87	$602.56	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $724.44	Professional		$363.08	$478.63	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $1,288.25	Professional		$602.56	$645.65	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $1,659.59	Facility		$416.87	$602.56	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $1,047.13	Professional		$79.43	$630.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $602.56	Facility		$213.80	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Professional		$251.19	$251.19	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $602.56	Professional		$234.42	$602.56	$602.56