Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $7,943.28	Facility		$1,122.02	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,445.44	Professional		$812.83	$1,148.15	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
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 $776.25 / $2,570.40 / $7,762.47	Facility		$776.25	$2,570.40	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,137.96 / $2,570.40	Professional		$616.60	$2,137.96	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,467.37	Facility		$1,230.27	$1,778.28	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,778.28	Professional		$977.24	$1,318.26	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $3,715.35	Professional		$1,737.80	$1,905.46	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $4,786.30	Facility		$977.24	$1,737.80	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,819.70 / $3,019.95	Professional		$616.60	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,737.80	Facility		$630.96	$724.44	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $831.76	Professional		$489.78	$489.78	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,737.80 / $1,737.80	Professional		$457.09	$1,737.80	$1,737.80