Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $5,754.40	Facility		$758.58	$1,819.70	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,380.38	Professional		$758.58	$954.99	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
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 $831.76 / $954.99 / $3,890.45	Facility		$831.76	$954.99	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Professional		$1,548.82	$1,548.82	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,549.93 / $9,549.93	Professional		$6,309.57	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,344.23	Facility		$912.01	$1,258.93	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Professional		$758.58	$1,023.29	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,691.53	Professional		$1,258.93	$1,380.38	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,467.37	Facility		$758.58	$1,258.93	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $2,344.23	Professional		$79.43	$1,318.26	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $1,258.93	Facility		$457.09	$537.03	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $870.96	Professional		$537.03	$537.03	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Professional		$1,174.90	$1,174.90	$1,258.93