Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $3,467.37	Facility		$457.09	$1,096.48	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $851.14	Professional		$457.09	$588.84	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
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 $489.78 / $588.84 / $3,388.44	Facility		$489.78	$588.84	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $5,754.40	Professional		$3,801.89	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $1,412.54	Facility		$549.54	$758.58	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $912.01	Professional		$457.09	$602.56	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,621.81	Professional		$758.58	$812.83	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $2,089.30	Facility		$457.09	$758.58	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,412.54	Professional		$79.43	$794.33	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $758.58	Facility		$275.42	$316.23	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $524.81	Professional		$316.23	$316.23	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $758.58 / $758.58	Professional		$309.03	$758.58	$758.58