Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.61 / $1,213.58 / $3,214.73	Facility		$500.61	$1,213.58	$3,214.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $514.14 / $838.86	Professional		$405.90	$514.14	$838.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.03 / $2,121.06 / $3,544.86	Facility		$805.03	$2,121.06	$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 $676.50 / $676.50 / $676.50	Facility		$676.50	$676.50	$676.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.61 / $1,546.22 / $3,013.65	Facility		$517.61	$1,546.22	$3,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.11 / $608.24 / $1,152.38	Professional		$345.11	$608.24	$1,152.38
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 $426.20 / $676.50 / $1,082.40	Facility		$426.20	$676.50	$1,082.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.67 / $676.50 / $845.63	Professional		$642.67	$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 $500.61 / $811.80 / $2,894.15	Facility		$500.61	$811.80	$2,894.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.11 / $777.98 / $1,152.38	Professional		$345.11	$777.98	$1,152.38
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $328.14 / $468.07	Professional		$284.13	$328.14	$468.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $676.50 / $913.28	Professional		$263.83	$676.50	$913.28