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 $741.31 / $741.31 / $870.96	Professional		$741.31	$741.31	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $4,570.88	Professional		$3,019.95	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,122.02	Facility		$426.58	$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 $426.58 / $602.56 / $1,659.59	Facility		$426.58	$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 $218.78 / $251.19 / $602.56	Facility		$218.78	$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 $117.49 / $117.49 / $602.56	Professional		$117.49	$117.49	$602.56