Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $532.66 / $4,788.49	Facility		$305.95	$532.66	$4,788.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $328.34 / $382.44	Professional		$327.14	$328.34	$382.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.81 / $2,708.51 / $5,373.58	Facility		$1,049.81	$2,708.51	$5,373.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.63 / $517.63 / $517.63	Professional		$517.63	$517.63	$517.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $514.96 / $514.96 / $514.96	Facility		$514.96	$514.96	$514.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $519.67	Facility		$309.75	$328.34	$519.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Professional		$328.34	$328.34	$328.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.88 / $5,222.64 / $5,222.64	Facility		$1,621.88	$5,222.64	$5,222.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,027.78 / $6,027.78 / $6,027.78	Professional		$6,027.78	$6,027.78	$6,027.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $331.62 / $941.27	Facility		$15.47	$331.62	$941.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $334.91 / $541.76	Professional		$328.34	$334.91	$541.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $369.58 / $1,120.50	Professional		$307.99	$369.58	$1,120.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $331.62 / $941.27	Facility		$15.88	$331.62	$941.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $505.40	Professional		$328.34	$328.34	$505.40
United Facility/Professional Facility Modifier Low / Median / High Price $476.52 / $476.52 / $476.52	Facility		$476.52	$476.52	$476.52
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $365.51	Professional		$328.34	$348.04	$365.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $328.34 / $459.68	Professional		$324.80	$328.34	$459.68