Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $588.19 / $1,350.70	Facility		$566.00	$588.19	$1,350.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.70 / $588.19 / $954.43	Professional		$532.70	$588.19	$954.43
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 $603.17 / $754.66 / $754.66	Professional		$603.17	$754.66	$754.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,267.43 / $1,267.43 / $1,267.43	Facility		$1,267.43	$1,267.43	$1,267.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,118.06 / $5,871.01 / $5,871.01	Facility		$2,118.06	$5,871.01	$5,871.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,347.36 / $6,347.36 / $9,229.35	Professional		$6,347.36	$6,347.36	$9,229.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $951.53 / $1,267.43	Facility		$362.74	$951.53	$1,267.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.74 / $1,140.69 / $1,267.43	Professional		$362.74	$1,140.69	$1,267.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.43 / $1,357.42 / $4,854.26	Professional		$1,267.43	$1,357.42	$4,854.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $785.73 / $1,267.43	Facility		$362.74	$785.73	$1,267.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $912.66	Professional		$541.58	$541.58	$912.66
United Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $688.31 / $806.09	Professional		$468.24	$688.31	$806.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.75 / $737.29 / $1,267.43	Professional		$674.75	$737.29	$1,267.43