Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $3,019.95	Facility		$346.74	$870.96	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $389.05	Professional		$5.01	$5.50	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,047.13 / $2,570.40	Facility		$380.19	$1,047.13	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $1,000.00	Professional		$263.03	$371.54	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $1,122.02	Facility		$436.52	$588.84	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $467.74 / $724.44	Professional		$7.08	$467.74	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Professional		$489.78	$489.78	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,698.24	Facility		$416.87	$630.96	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $912.01	Professional		$263.03	$398.11	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $588.84	Facility		$208.93	$245.47	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $588.84	Professional		$229.09	$489.78	$588.84