Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Facility		$487.59	$487.59	$492.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $507.09	Professional		$487.59	$487.59	$507.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $10.74 / $25.70	Facility		$7.16	$10.74	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $487.59 / $487.59	Facility		$459.99	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $1,530.45 / $1,921.69	Facility		$833.00	$1,530.45	$1,921.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,386.13 / $2,386.13 / $3,067.88	Professional		$2,386.13	$2,386.13	$3,067.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $1,033.69	Facility		$487.59	$487.59	$1,033.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $609.49	Professional		$487.59	$487.59	$609.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $1,192.40	Professional		$148.10	$302.94	$1,192.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $1,031.72	Facility		$487.59	$487.59	$1,031.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $643.98	Professional		$487.59	$487.59	$643.98
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $497.83	Professional		$487.59	$487.59	$497.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $487.59 / $658.25	Professional		$346.64	$487.59	$658.25