Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,548.82 / $2,570.40	Facility		$316.23	$1,548.82	$2,570.40
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 $467.74 / $1,023.29 / $1,621.81	Facility		$467.74	$1,023.29	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,621.81	Facility		$354.81	$616.60	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,995.26	Professional		$776.25	$1,202.26	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $2,630.27	Facility		$1,479.11	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $891.25	Facility		$316.23	$426.58	$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 / $426.58 / $870.96	Facility		$316.23	$426.58	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,995.26	Professional		$79.43	$776.25	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44