Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.70 / $487.06 / $496.43	Facility		$477.70	$487.06	$496.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.97 / $496.43 / $805.53	Professional		$460.97	$496.43	$805.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.08 / $636.92 / $636.92	Professional		$509.08	$636.92	$636.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,069.69 / $1,069.69 / $1,069.69	Facility		$1,069.69	$1,069.69	$1,069.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $457.90	Professional		$457.90	$457.90	$457.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,226.56 / $5,394.87 / $6,357.69	Facility		$3,226.56	$5,394.87	$6,357.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,200.24 / $10,445.04 / $10,445.04	Professional		$10,200.24	$10,445.04	$10,445.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $740.12 / $1,069.69	Facility		$323.31	$740.12	$1,069.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $962.72 / $1,132.53	Professional		$323.31	$962.72	$1,132.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.69 / $1,176.66 / $2,406.80	Professional		$1,069.69	$1,176.66	$2,406.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $714.74 / $1,069.69	Facility		$323.31	$714.74	$1,069.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $941.68	Professional		$457.90	$457.90	$941.68
United Facility/Professional Facility Modifier Low / Median / High Price $384.77 / $496.34 / $584.28	Facility		$384.77	$496.34	$584.28
United Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $603.52 / $718.47	Professional		$417.34	$603.52	$718.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $604.41 / $1,069.69	Professional		$601.41	$604.41	$1,069.69