Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,905.46 / $6,025.60	Facility		$794.33	$1,905.46	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,479.11	Professional		$794.33	$1,023.29	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $5,888.44	Facility		$870.96	$1,380.38	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,949.84	Professional		$1,621.81	$1,621.81	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $10,000.00	Professional		$6,606.93	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,511.89	Facility		$1,000.00	$1,348.96	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,584.89	Professional		$794.33	$1,071.52	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,818.38	Professional		$1,348.96	$1,445.44	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $3,715.35	Facility		$933.25	$1,348.96	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $2,344.23	Professional		$79.43	$1,412.54	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $1,348.96	Facility		$478.63	$562.34	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $912.01	Professional		$562.34	$562.34	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96