Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $631.23 / $655.99	Facility		$606.48	$631.23	$655.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.20 / $655.99 / $926.11	Professional		$597.20	$655.99	$926.11
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 $672.70 / $672.70 / $841.64	Professional		$672.70	$672.70	$841.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,413.50 / $1,413.50 / $1,413.50	Facility		$1,413.50	$1,413.50	$1,413.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,093.20	Professional		$662.45	$662.45	$1,093.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.13 / $6,547.41 / $6,547.41	Facility		$2,362.13	$6,547.41	$6,547.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,078.87 / $7,078.87 / $10,292.33	Professional		$7,078.87	$7,078.87	$10,292.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $1,061.20 / $1,413.50	Facility		$404.54	$1,061.20	$1,413.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.54 / $1,272.15 / $1,413.50	Professional		$404.54	$1,272.15	$1,413.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.15 / $1,413.50 / $3,243.98	Professional		$1,272.15	$1,413.50	$3,243.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $907.46 / $1,413.50	Facility		$404.54	$907.46	$1,413.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $1,120.20	Professional		$662.45	$907.46	$1,120.20
United Facility/Professional Professional Modifier Low / Median / High Price $522.19 / $755.14 / $898.97	Professional		$522.19	$755.14	$898.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.52 / $752.50 / $1,413.50	Professional		$735.52	$752.50	$1,413.50