Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.64 / $1,074.01 / $2,959.26	Facility		$455.64	$1,074.01	$2,959.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $373.67 / $488.19	Professional		$361.62	$373.67	$488.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $602.70	Professional		$602.70	$602.70	$602.70
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 $391.76 / $1,371.16 / $2,686.01	Facility		$391.76	$1,371.16	$2,686.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.16 / $734.16 / $879.60	Professional		$734.16	$734.16	$879.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $964.32 / $2,862.83 / $2,862.83	Facility		$964.32	$2,862.83	$2,862.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,001.45 / $3,001.45 / $4,520.25	Professional		$3,001.45	$3,001.45	$4,520.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $602.70 / $889.69	Facility		$361.62	$602.70	$889.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $753.38	Professional		$602.70	$602.70	$753.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $753.38 / $1,356.08	Professional		$542.42	$753.38	$1,356.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $603.29 / $1,820.50	Facility		$391.76	$603.29	$1,820.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $723.24 / $1,054.73	Professional		$542.42	$723.24	$1,054.73
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $385.73	Professional		$253.13	$253.13	$385.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $602.70	Professional		$120.54	$120.54	$602.70