Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.34 / $567.77 / $782.10	Facility		$546.34	$567.77	$782.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.78 / $567.77 / $919.20	Professional		$510.78	$567.77	$919.20
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 $582.23 / $582.23 / $728.46	Professional		$582.23	$582.23	$728.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,223.41 / $1,223.41 / $1,223.41	Facility		$1,223.41	$1,223.41	$1,223.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $620.97	Facility		$620.97	$620.97	$620.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $620.97	Professional		$453.31	$453.31	$620.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,097.11 / $5,297.15 / $6,293.94	Facility		$2,097.11	$5,297.15	$6,293.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,629.67 / $6,788.79 / $9,720.45	Professional		$6,629.67	$6,788.79	$9,720.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $852.16 / $1,223.41	Facility		$320.07	$852.16	$1,223.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.07 / $1,101.07 / $1,223.41	Professional		$320.07	$1,101.07	$1,223.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $1,247.88 / $2,807.73	Professional		$413.00	$1,247.88	$2,807.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $817.47 / $1,223.41	Facility		$320.07	$817.47	$1,223.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $661.98	Professional		$453.31	$453.31	$661.98
United Facility/Professional Professional Modifier Low / Median / High Price $413.16 / $597.47 / $711.27	Professional		$413.16	$597.47	$711.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $595.38 / $604.33 / $1,223.41	Professional		$595.38	$604.33	$1,223.41