Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.54 / $1,076.25 / $2,841.26	Facility		$418.54	$1,076.25	$2,841.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $448.43 / $627.80	Professional		$358.75	$448.43	$627.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $1,926.72 / $3,520.00	Facility		$717.49	$1,926.72	$3,520.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $316.89 / $837.07	Professional		$5.00	$316.89	$837.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.39 / $1,251.42 / $2,610.46	Facility		$400.39	$1,251.42	$2,610.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $482.70 / $1,000.00	Professional		$303.16	$482.70	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,191.10 / $3,191.10 / $3,191.10	Facility		$3,191.10	$3,191.10	$3,191.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $597.91 / $747.39	Facility		$448.43	$597.91	$747.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $597.91 / $896.87	Professional		$538.12	$597.91	$896.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $717.49 / $1,345.30	Professional		$388.64	$717.49	$1,345.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.45 / $597.91 / $1,305.83	Facility		$442.45	$597.91	$1,305.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.98 / $568.01 / $941.47	Professional		$304.98	$568.01	$941.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $251.12 / $358.75	Professional		$37.61	$251.12	$358.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $239.16 / $597.91	Professional		$233.18	$239.16	$597.91