Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.35 / $787.68 / $1,344.69	Facility		$592.35	$787.68	$1,344.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $853.83 / $1,380.59	Professional		$668.96	$853.83	$1,380.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.60 / $640.83 / $2,498.00	Facility		$379.60	$640.83	$2,498.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $828.50 / $1,363.35	Professional		$638.41	$828.50	$1,363.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $619.00 / $631.33	Facility		$80.00	$619.00	$631.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,228.44 / $1,228.44	Facility		$1,228.44	$1,228.44	$1,228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.38 / $1,140.27 / $1,764.29	Professional		$787.38	$1,140.27	$1,764.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,545.12	Facility		$55.00	$55.00	$3,545.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,271.28 / $6,495.04 / $7,393.28	Professional		$5,271.28	$6,495.04	$7,393.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.14 / $1,115.47 / $1,681.33	Facility		$726.14	$1,115.47	$1,681.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $908.28 / $1,167.24 / $1,556.32	Professional		$908.28	$1,167.24	$1,556.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.09 / $1,212.09 / $1,212.09	Professional		$1,212.09	$1,212.09	$1,212.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.99 / $1,121.72 / $1,709.18	Facility		$731.99	$1,121.72	$1,709.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.61 / $1,192.73 / $1,811.69	Professional		$793.61	$1,192.73	$1,811.69
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $1,002.99 / $1,581.22	Professional		$747.49	$1,002.99	$1,581.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $737.93 / $840.43 / $1,170.08	Professional		$737.93	$840.43	$1,170.08