Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.21 / $561.00 / $571.79	Facility		$550.21	$561.00	$571.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.42 / $571.79 / $997.44	Professional		$539.42	$571.79	$997.44
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 $586.36 / $586.36 / $733.62	Professional		$586.36	$586.36	$733.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,232.08 / $1,232.08 / $1,232.08	Facility		$1,232.08	$1,232.08	$1,232.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $755.39	Professional		$551.42	$551.42	$755.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,049.95 / $6,411.18 / $7,656.34	Facility		$3,049.95	$6,411.18	$7,656.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,001.72 / $8,193.78 / $11,043.45	Professional		$8,001.72	$8,193.78	$11,043.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $858.65 / $1,232.08	Facility		$389.35	$858.65	$1,232.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.35 / $1,108.86 / $1,478.03	Professional		$389.35	$1,108.86	$1,478.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.05 / $1,293.68 / $2,156.14	Professional		$1,131.05	$1,293.68	$2,156.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $823.25 / $1,232.08	Facility		$389.35	$823.25	$1,232.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $778.05	Professional		$551.42	$551.42	$778.05
United Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $726.79 / $865.23	Professional		$502.59	$726.79	$865.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.25 / $736.27 / $1,232.08	Professional		$724.25	$736.27	$1,232.08