Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.06 / $382.06 / $412.62	Facility		$382.06	$382.06	$412.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $406.18 / $764.11	Professional		$351.49	$406.18	$764.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $519.59 / $519.59	Professional		$519.59	$519.59	$519.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $872.63 / $872.63 / $872.63	Facility		$872.63	$872.63	$872.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $484.42	Professional		$353.63	$353.63	$484.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.05 / $3,319.62 / $3,319.62	Facility		$1,258.05	$3,319.62	$3,319.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,319.52 / $4,319.52 / $4,908.53	Professional		$4,319.52	$4,319.52	$4,908.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.79 / $608.14 / $872.63	Facility		$210.79	$608.14	$872.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $737.94 / $872.63	Professional		$213.17	$737.94	$872.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $667.56 / $890.08 / $1,963.42	Professional		$667.56	$890.08	$1,963.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.79 / $583.05 / $872.63	Facility		$210.79	$583.05	$872.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $516.41	Professional		$353.63	$353.63	$516.41
United Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $402.51 / $503.14	Professional		$272.08	$402.51	$503.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $396.03 / $872.63	Professional		$393.90	$396.03	$872.63