Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $670.26	Facility		$663.63	$663.63	$670.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $724.96	Professional		$663.63	$663.63	$724.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $18.62	Facility		$5.73	$5.73	$18.62
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 $626.05 / $663.63 / $663.63	Facility		$626.05	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.76 / $1,215.45 / $3,792.20	Facility		$882.76	$1,215.45	$3,792.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,792.20 / $3,792.20 / $3,800.00	Professional		$3,792.20	$3,792.20	$3,800.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.26 / $717.78 / $1,406.90	Facility		$670.26	$717.78	$1,406.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $829.54	Professional		$663.63	$663.63	$829.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $1,932.57	Professional		$148.10	$302.94	$1,932.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $1,404.21	Facility		$663.63	$663.63	$1,404.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $1,000.00	Professional		$663.63	$663.63	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $717.78 / $895.90	Professional		$663.63	$717.78	$895.90