Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $2,570.40	Facility		$426.58	$1,412.54	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $549.54	Professional		$251.19	$426.58	$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 $275.42 / $562.34 / $1,122.02	Facility		$275.42	$562.34	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $891.25	Facility		$302.00	$426.58	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $549.54	Professional		$251.19	$426.58	$549.54
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 $302.00 / $426.58 / $870.96	Facility		$302.00	$426.58	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95