Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.03 / $1,024.74 / $3,027.18	Facility		$386.03	$1,024.74	$3,027.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $409.43 / $701.88	Professional		$327.54	$409.43	$701.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.30 / $1,824.89 / $3,198.90	Facility		$679.30	$1,824.89	$3,198.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $321.69 / $818.86	Professional		$5.00	$321.69	$818.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $584.90 / $584.90	Facility		$80.00	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.89 / $1,277.44 / $2,606.00	Facility		$468.89	$1,277.44	$2,606.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.22 / $385.64 / $1,094.19	Professional		$311.22	$385.64	$1,094.19
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 / $935.84	Facility		$368.49	$584.90	$935.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $731.13	Professional		$584.90	$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 $409.43 / $635.66 / $2,106.32	Facility		$409.43	$635.66	$2,106.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $555.65 / $1,025.99	Professional		$316.52	$555.65	$1,025.99
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $303.27 / $433.26	Professional		$245.66	$303.27	$433.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $584.90	Professional		$288.83	$288.83	$584.90