Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.11 / $581.91 / $604.73	Facility		$536.11	$581.91	$604.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.53 / $604.73 / $853.73	Professional		$550.53	$604.73	$853.73
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 $620.14 / $620.14 / $775.88	Professional		$620.14	$620.14	$775.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,303.06 / $1,303.06 / $1,303.06	Facility		$1,303.06	$1,303.06	$1,303.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $723.52	Professional		$528.16	$528.16	$723.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,177.52 / $6,035.75 / $6,035.75	Facility		$2,177.52	$6,035.75	$6,035.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,525.74 / $6,525.74 / $9,488.03	Professional		$6,525.74	$6,525.74	$9,488.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.96 / $1,001.75 / $1,303.06	Facility		$638.96	$1,001.75	$1,303.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $848.06 / $1,172.75 / $1,303.06	Professional		$848.06	$1,172.75	$1,303.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.91 / $1,382.28 / $4,990.72	Professional		$1,237.91	$1,382.28	$4,990.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.21 / $848.06 / $1,303.06	Facility		$675.21	$848.06	$1,303.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $1,051.89	Professional		$528.16	$528.16	$1,051.89
United Facility/Professional Professional Modifier Low / Median / High Price $481.38 / $712.12 / $869.29	Professional		$481.38	$712.12	$869.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $698.09 / $752.32 / $1,303.06	Professional		$698.09	$752.32	$1,303.06