Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.54 / $1,482.66 / $4,155.18	Facility		$558.54	$1,482.66	$4,155.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.91 / $592.39 / $1,015.52	Professional		$473.91	$592.39	$1,015.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $592.39	Professional		$5.00	$5.50	$592.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $846.27 / $846.27	Facility		$80.00	$846.27	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.74 / $1,859.27 / $3,770.10	Facility		$563.74	$1,859.27	$3,770.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.35 / $473.39 / $1,320.76	Professional		$385.35	$473.39	$1,320.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.03 / $4,019.78 / $4,019.78	Facility		$1,354.03	$4,019.78	$4,019.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,231.35 / $4,231.35 / $6,347.03	Professional		$4,231.35	$4,231.35	$6,347.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.15 / $846.27 / $1,269.41	Facility		$533.15	$846.27	$1,269.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,057.83	Professional		$846.27	$846.27	$1,057.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $1,015.52 / $1,904.11	Professional		$550.08	$1,015.52	$1,904.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $907.62 / $3,047.31	Facility		$589.59	$907.62	$3,047.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.31 / $673.54 / $1,284.53	Professional		$389.31	$673.54	$1,284.53
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $541.61	Professional		$355.43	$355.43	$541.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.05 / $846.27 / $1,142.46	Professional		$330.05	$846.27	$1,142.46