Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $661.85	Facility		$655.29	$655.29	$661.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $720.83	Professional		$655.29	$655.29	$720.83
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 $618.21 / $655.29 / $655.29	Facility		$618.21	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.50 / $4,487.09 / $5,146.99	Facility		$1,487.50	$4,487.09	$5,146.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.09 / $5,361.66 / $5,727.50	Professional		$4,487.09	$5,361.66	$5,727.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.85 / $730.43 / $1,389.24	Facility		$661.85	$730.43	$1,389.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $819.13	Professional		$655.29	$655.29	$819.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $707.73 / $2,536.05	Professional		$148.10	$707.73	$2,536.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $1,389.24	Facility		$655.29	$655.29	$1,389.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $927.31	Professional		$655.29	$655.29	$927.31
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $669.06	Professional		$655.29	$655.29	$669.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $730.43 / $1,016.31	Professional		$655.29	$730.43	$1,016.31