Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.49 / $1,185.23 / $3,321.61	Facility		$446.49	$1,185.23	$3,321.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $473.55 / $811.80	Professional		$378.84	$473.55	$811.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.15 / $2,063.32 / $3,544.86	Facility		$744.15	$2,063.32	$3,544.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $372.08 / $608.85	Professional		$5.00	$372.08	$608.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $669.73 / $669.73 / $676.50	Facility		$669.73	$669.73	$676.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.09 / $1,477.49 / $3,013.65	Facility		$459.09	$1,477.49	$3,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $395.97 / $1,073.88	Professional		$311.32	$395.97	$1,073.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.40 / $3,213.38 / $3,213.38	Facility		$1,082.40	$3,213.38	$3,213.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,382.50 / $3,382.50 / $5,073.75	Professional		$3,382.50	$3,382.50	$5,073.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.90 / $676.50 / $1,014.75	Facility		$405.90	$676.50	$1,014.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $845.63	Professional		$676.50	$676.50	$845.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $811.80 / $1,522.12	Professional		$439.73	$811.80	$1,522.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.56 / $725.55 / $2,266.28	Facility		$459.56	$725.55	$2,266.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.63 / $608.85 / $1,071.28	Professional		$314.63	$608.85	$1,071.28
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $296.95 / $424.21	Professional		$284.13	$296.95	$424.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $676.50 / $913.28	Professional		$263.83	$676.50	$913.28