Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $560.75	Facility		$555.20	$555.20	$560.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $666.24	Professional		$555.20	$555.20	$666.24
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 $523.78 / $555.20 / $555.20	Facility		$523.78	$555.20	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Professional		$555.20	$555.20	$555.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.75 / $3,958.17 / $7,916.34	Facility		$2,290.75	$3,958.17	$7,916.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,432.50 / $10,423.18 / $10,658.48	Professional		$9,432.50	$10,423.18	$10,658.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $560.75 / $1,591.63 / $2,824.50	Facility		$560.75	$1,591.63	$2,824.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $694.00	Professional		$555.20	$555.20	$694.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $599.62 / $2,492.32	Professional		$148.10	$599.62	$2,492.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $1,177.02	Facility		$555.20	$555.20	$1,177.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $785.66	Professional		$555.20	$555.20	$785.66
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $562.41	Professional		$555.20	$555.20	$562.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $1,107.70	Professional		$555.20	$555.20	$1,107.70