Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.17 / $670.06 / $682.94	Facility		$657.17	$670.06	$682.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.51 / $682.94 / $1,071.66	Professional		$618.51	$682.94	$1,071.66
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 $700.34 / $700.34 / $700.34	Professional		$700.34	$700.34	$700.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,471.59 / $1,471.59 / $1,471.59	Facility		$1,471.59	$1,471.59	$1,471.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,014.49	Professional		$740.58	$740.58	$1,014.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,168.65 / $6,758.11 / $6,758.11	Facility		$3,168.65	$6,758.11	$6,758.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,284.37 / $7,284.37 / $9,474.98	Professional		$7,284.37	$7,284.37	$9,474.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $1,104.80 / $1,471.59	Facility		$406.89	$1,104.80	$1,471.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.89 / $1,321.76 / $1,471.59	Professional		$406.89	$1,321.76	$1,471.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.59 / $1,576.07 / $5,636.19	Professional		$1,471.59	$1,576.07	$5,636.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $1,014.49 / $1,471.59	Facility		$406.89	$1,014.49	$1,471.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,081.50	Professional		$740.58	$740.58	$1,081.50
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $759.52 / $904.19	Professional		$525.22	$759.52	$904.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.87 / $770.62 / $1,471.59	Professional		$756.87	$770.62	$1,471.59