Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,862.09 / $2,951.21	Facility		$354.81	$1,862.09	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $549.54	Professional		$316.23	$316.23	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $1,819.70	Facility		$512.86	$1,122.02	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $1,621.81	Facility		$354.81	$977.24	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $2,630.27	Facility		$1,621.81	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $891.25	Facility		$316.23	$398.11	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $602.56	Professional		$316.23	$316.23	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $851.14	Facility		$316.23	$407.38	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44