Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $444.52 / $2,425.12	Facility		$350.94	$444.52	$2,425.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $437.27 / $701.88	Professional		$327.54	$437.27	$701.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.33 / $1,848.28 / $3,304.68	Facility		$684.33	$1,848.28	$3,304.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $310.00 / $441.86	Professional		$5.00	$310.00	$441.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Facility		$584.90	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $1,220.82 / $2,718.23	Facility		$408.71	$1,220.82	$2,718.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $429.86 / $1,134.19	Professional		$311.95	$429.86	$1,134.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $935.84 / $2,778.28 / $2,778.28	Facility		$935.84	$2,778.28	$2,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $584.90 / $701.88	Facility		$368.49	$584.90	$701.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $584.90 / $731.13	Professional		$555.66	$584.90	$731.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $701.88 / $1,316.03	Professional		$380.19	$701.88	$1,316.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $584.90 / $1,277.44	Facility		$368.49	$584.90	$1,277.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $525.03 / $986.37	Professional		$331.49	$525.03	$986.37
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $481.40	Professional		$245.66	$336.98	$481.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $288.83 / $584.90	Professional		$228.11	$288.83	$584.90