Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.98 / $2,738.96 / $7,546.77	Facility		$1,161.98	$2,738.96	$7,546.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.68 / $1,075.91 / $1,306.47	Professional		$837.68	$1,075.91	$1,306.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,537.02	Professional		$1,537.02	$1,537.02	$1,537.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $3,496.71 / $6,848.67	Facility		$999.06	$3,496.71	$6,848.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.39 / $1,872.39 / $2,243.33	Professional		$1,872.39	$1,872.39	$2,243.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,459.23 / $7,300.85 / $7,300.85	Facility		$2,459.23	$7,300.85	$7,300.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,654.36 / $7,654.36 / $11,527.65	Professional		$7,654.36	$7,654.36	$11,527.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.21 / $1,537.02 / $2,268.14	Facility		$922.21	$1,537.02	$2,268.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,921.28	Professional		$1,537.02	$1,537.02	$1,921.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,921.28 / $3,458.30	Professional		$1,383.32	$1,921.28	$3,458.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $1,538.55 / $4,643.60	Facility		$999.06	$1,538.55	$4,643.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,844.42 / $2,689.79	Professional		$1,383.32	$1,844.42	$2,689.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,921.28	Facility		$1,537.02	$1,537.02	$1,921.28
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $645.54 / $983.69	Professional		$645.54	$645.54	$983.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $1,537.02	Professional		$514.79	$514.79	$1,537.02