Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.41 / $590.70 / $1,356.55	Facility		$568.41	$590.70	$1,356.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.97 / $590.70 / $935.52	Professional		$534.97	$590.70	$935.52
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 $605.75 / $605.75 / $605.75	Professional		$605.75	$605.75	$605.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,272.82 / $1,272.82 / $1,272.82	Facility		$1,272.82	$1,272.82	$1,272.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $535.05	Professional		$535.05	$535.05	$535.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,300.11 / $5,476.21 / $6,560.56	Facility		$2,300.11	$5,476.21	$6,560.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,629.62 / $6,629.62 / $8,743.73	Professional		$6,629.62	$6,629.62	$8,743.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $850.47 / $1,272.82	Facility		$333.63	$850.47	$1,272.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.63 / $1,145.54 / $1,272.82	Professional		$333.63	$1,145.54	$1,272.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.45 / $1,336.46 / $2,227.42	Professional		$1,168.45	$1,336.46	$2,227.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $850.47 / $1,272.82	Facility		$333.63	$850.47	$1,272.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $996.34	Professional		$535.05	$535.05	$996.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.99 / $1,173.99 / $1,381.17	Facility		$1,173.99	$1,173.99	$1,381.17
United Facility/Professional Professional Modifier Low / Median / High Price $430.66 / $622.78 / $741.40	Professional		$430.66	$622.78	$741.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.60 / $656.91 / $1,272.82	Professional		$620.60	$656.91	$1,272.82