Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.62 / $898.59 / $3,050.06	Facility		$423.62	$898.59	$3,050.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $423.62 / $850.00	Professional		$287.83	$423.62	$850.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.62 / $1,842.11 / $3,363.29	Facility		$699.62	$1,842.11	$3,363.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $353.02 / $629.01	Professional		$5.00	$353.02	$629.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $641.85 / $641.85	Facility		$641.85	$641.85	$641.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $1,205.71 / $2,733.05	Facility		$198.63	$1,205.71	$2,733.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $510.78 / $1,010.66	Professional		$285.89	$510.78	$1,010.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.96 / $3,048.79 / $3,048.79	Facility		$1,026.96	$3,048.79	$3,048.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,209.25 / $3,209.25 / $4,813.88	Professional		$3,209.25	$3,209.25	$4,813.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $641.85 / $962.78	Facility		$377.41	$641.85	$962.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $609.76 / $641.85 / $802.31	Professional		$609.76	$641.85	$802.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $770.22 / $1,444.16	Professional		$417.20	$770.22	$1,444.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.64 / $673.94 / $1,996.46	Facility		$339.64	$673.94	$1,996.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $706.04 / $1,010.66	Professional		$292.29	$706.04	$1,010.66
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $269.58 / $395.38	Professional		$120.89	$269.58	$395.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $641.85 / $866.50	Professional		$250.32	$641.85	$866.50