Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.01 / $564.30 / $807.94	Facility		$543.01	$564.30	$807.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.07 / $564.30 / $915.67	Professional		$511.07	$564.30	$915.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.67 / $578.67 / $724.02	Professional		$578.67	$578.67	$724.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,215.95 / $1,215.95 / $1,215.95	Facility		$1,215.95	$1,215.95	$1,215.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $944.53	Facility		$944.53	$944.53	$944.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $944.53	Professional		$689.51	$689.51	$944.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.94 / $5,632.19 / $5,632.19	Facility		$2,031.94	$5,632.19	$5,632.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,089.34 / $6,089.34 / $8,853.53	Professional		$6,089.34	$6,089.34	$8,853.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $841.30 / $1,215.95	Facility		$347.99	$841.30	$1,215.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $1,094.35 / $1,215.95	Professional		$347.99	$1,094.35	$1,215.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.75 / $1,276.75 / $1,302.28	Professional		$1,276.75	$1,276.75	$1,302.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $847.39 / $1,215.95	Facility		$347.99	$847.39	$1,215.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $963.62	Professional		$689.51	$689.51	$963.62
United Facility/Professional Professional Modifier Low / Median / High Price $449.20 / $641.17 / $773.30	Professional		$449.20	$641.17	$773.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $654.42 / $1,215.95	Professional		$647.30	$654.42	$1,215.95