Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $954.99 / $3,019.95	Facility		$363.08	$954.99	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $741.31	Professional		$363.08	$478.63	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,041.74 / $3,467.37	Facility		$691.83	$2,041.74	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $331.13 / $794.33	Professional		$5.01	$331.13	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $588.84 / $588.84	Facility		$79.43	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $2,570.40	Facility		$457.09	$1,071.52	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $1,096.48	Professional		$309.03	$398.11	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $2,511.89	Facility		$446.68	$588.84	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $467.74 / $724.44	Professional		$7.08	$467.74	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $1,698.24	Facility		$426.58	$645.65	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,096.48	Professional		$309.03	$489.78	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $588.84	Facility		$208.93	$245.47	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $436.52	Professional		$245.47	$302.00	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Professional		$229.09	$588.84	$588.84