Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,959.30 / $4,989.60	Facility		$777.00	$1,959.30	$4,989.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $777.00 / $1,260.00	Professional		$588.00	$777.00	$1,260.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $556.50 / $703.50	Professional		$5.00	$556.50	$703.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Facility		$1,050.00	$1,050.00	$1,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.13 / $2,306.85 / $4,648.30	Facility		$703.13	$2,306.85	$4,648.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.41 / $942.61 / $1,653.01	Professional		$535.41	$942.61	$1,653.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $4,987.50 / $4,987.50	Facility		$1,680.00	$4,987.50	$4,987.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $5,250.00 / $7,875.00	Professional		$5,250.00	$5,250.00	$7,875.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $1,050.00 / $1,260.00	Facility		$661.50	$1,050.00	$1,260.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.23 / $1,050.00 / $1,050.00	Professional		$990.23	$1,050.00	$1,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $1,260.00 / $2,362.50	Professional		$682.50	$1,260.00	$2,362.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $1,050.00 / $2,293.19	Facility		$661.50	$1,050.00	$2,293.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.41 / $1,050.00 / $1,653.01	Professional		$535.41	$1,050.00	$1,653.01
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $441.00 / $1,042.34	Professional		$437.79	$441.00	$1,042.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.50 / $420.00 / $1,050.00	Professional		$409.50	$420.00	$1,050.00