Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.36 / $570.42 / $1,143.11	Facility		$226.36	$570.42	$1,143.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $880.31 / $1,037.39 / $1,037.39	Facility		$880.31	$1,037.39	$1,037.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.97 / $1,573.97 / $1,573.97	Professional		$1,573.97	$1,573.97	$1,573.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.82 / $872.08 / $1,845.29	Facility		$344.82	$872.08	$1,845.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $663.00 / $765.60	Professional		$631.40	$663.00	$765.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.82 / $872.08 / $1,632.75	Facility		$344.82	$872.08	$1,632.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,177.31	Professional		$872.08	$872.08	$1,177.31