Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.07 / $4,085.58	Facility		$0.02	$0.07	$4,085.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,118.46 / $5,877.02	Professional		$776.90	$1,118.46	$5,877.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.50 / $612.38	Professional		$4.67	$5.50	$612.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $914.00 / $914.00	Facility		$80.00	$914.00	$914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.85 / $2,008.06 / $4,072.05	Facility		$608.85	$2,008.06	$4,072.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.13 / $868.24 / $1,438.90	Professional		$463.13	$868.24	$1,438.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.40 / $4,341.50 / $4,341.50	Facility		$1,462.40	$4,341.50	$4,341.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $4,570.00 / $6,855.00	Professional		$4,570.00	$4,570.00	$6,855.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $822.60 / $914.00 / $1,371.00	Facility		$822.60	$914.00	$1,371.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,142.50	Professional		$914.00	$914.00	$1,142.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $1,096.80 / $2,056.50	Professional		$594.10	$1,096.80	$2,056.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $639.28 / $1,188.20 / $3,866.48	Facility		$639.28	$1,188.20	$3,866.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.22 / $1,051.09 / $1,438.90	Professional		$466.22	$1,051.09	$1,438.90
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $563.02	Professional		$383.88	$383.88	$563.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $846.27 / $914.00	Professional		$473.45	$846.27	$914.00