Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.04 / $2,776.55 / $6,435.82	Facility		$791.04	$2,776.55	$6,435.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $791.04 / $810.82	Professional		$587.63	$791.04	$810.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.80 / $2,039.81 / $4,055.71	Facility		$796.80	$2,039.81	$4,055.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.59 / $830.59 / $830.59	Professional		$830.59	$830.59	$830.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,601.76 / $5,601.76 / $5,601.76	Facility		$5,601.76	$5,601.76	$5,601.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $3,493.76 / $4,356.30	Facility		$697.81	$3,493.76	$4,356.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,757.44 / $3,757.44 / $4,449.60	Professional		$3,757.44	$3,757.44	$4,449.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.38 / $988.80 / $1,276.92	Facility		$599.38	$988.80	$1,276.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.01 / $609.62 / $628.66	Professional		$381.01	$609.62	$628.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.42 / $1,193.67 / $1,907.34	Professional		$1,077.42	$1,193.67	$1,907.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $734.54 / $1,718.94	Facility		$624.36	$734.54	$1,718.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $612.11	Professional		$612.11	$612.11	$612.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $939.36 / $1,268.14	Professional		$824.00	$939.36	$1,268.14