Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $508.38 / $1,864.88	Facility		$495.98	$508.38	$1,864.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $508.38 / $526.98	Professional		$495.98	$508.38	$526.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.90 / $1,009.62 / $1,994.50	Facility		$398.90	$1,009.62	$1,994.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.78 / $520.78 / $520.78	Professional		$520.78	$520.78	$520.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,791.60 / $4,791.60 / $4,791.60	Facility		$4,791.60	$4,791.60	$4,791.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $2,122.65 / $2,224.80	Facility		$588.98	$2,122.65	$2,224.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.46 / $2,355.92 / $2,669.76	Professional		$2,254.46	$2,355.92	$2,669.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.38 / $619.98 / $1,106.34	Facility		$508.38	$619.98	$1,106.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $560.20 / $837.41 / $879.28	Professional		$560.20	$837.41	$879.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $619.98 / $842.24	Facility		$526.98	$619.98	$842.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $516.65	Professional		$516.65	$516.65	$516.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $588.98 / $795.12	Professional		$516.65	$588.98	$795.12