Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.52 / $668.76 / $1,090.40	Facility		$643.52	$668.76	$1,090.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.91 / $668.76 / $1,085.16	Professional		$630.91	$668.76	$1,085.16
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 $685.80 / $858.03 / $858.03	Professional		$685.80	$858.03	$858.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,441.02 / $1,441.02 / $1,441.02	Facility		$1,441.02	$1,441.02	$1,441.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $1,224.00	Professional		$650.69	$650.69	$1,224.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,437.46 / $8,295.73 / $8,295.73	Facility		$7,437.46	$8,295.73	$8,295.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,383.06 / $8,383.06 / $10,698.60	Professional		$8,383.06	$8,383.06	$10,698.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $1,004.25 / $1,441.02	Facility		$459.43	$1,004.25	$1,441.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $1,300.33 / $1,605.49	Professional		$459.43	$1,300.33	$1,605.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.86 / $1,469.84 / $3,307.14	Professional		$1,322.86	$1,469.84	$3,307.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $962.85 / $1,441.02	Facility		$459.43	$962.85	$1,441.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $891.35 / $1,251.54	Professional		$650.69	$891.35	$1,251.54
United Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $857.61 / $1,020.96	Professional		$593.04	$857.61	$1,020.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $859.43 / $1,441.02	Professional		$854.61	$859.43	$1,441.02