Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.80 / $1,211.72 / $3,209.47	Facility		$499.80	$1,211.72	$3,209.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $513.29 / $810.48	Professional		$378.22	$513.29	$810.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.22 / $2,062.94 / $3,539.10	Facility		$790.22	$2,062.94	$3,539.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $371.47 / $661.89	Professional		$5.00	$371.47	$661.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $668.65 / $668.65 / $675.40	Facility		$668.65	$668.65	$675.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $1,483.85 / $2,989.34	Facility		$439.01	$1,483.85	$2,989.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.50 / $537.72 / $1,150.60	Professional		$325.50	$537.72	$1,150.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.08 / $3,208.15 / $3,208.15	Facility		$1,197.08	$3,208.15	$3,208.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,377.00 / $3,377.00 / $5,065.50	Professional		$3,377.00	$3,377.00	$5,065.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.50 / $675.40 / $1,013.10	Facility		$425.50	$675.40	$1,013.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.63 / $675.40 / $844.25	Professional		$641.63	$675.40	$844.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $439.01 / $810.48 / $1,519.65	Professional		$439.01	$810.48	$1,519.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.72 / $776.71 / $2,551.80	Facility		$462.72	$776.71	$2,551.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.33 / $776.71 / $1,150.60	Professional		$342.33	$776.71	$1,150.60
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $283.67 / $432.26	Professional		$271.42	$283.67	$432.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $675.40 / $911.79	Professional		$263.41	$675.40	$911.79