Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.64 / $2,218.15 / $6,167.77	Facility		$759.64	$2,218.15	$6,167.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.00 / $835.61 / $1,012.86	Professional		$709.00	$835.61	$1,012.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.16 / $1,266.07 / $1,266.07	Professional		$1,076.16	$1,266.07	$1,266.07
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 $815.90 / $2,971.43 / $4,592.06	Facility		$815.90	$2,971.43	$4,592.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.30 / $1,542.30 / $1,847.85	Professional		$1,542.30	$1,542.30	$1,847.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $6,013.83 / $6,013.83	Facility		$2,916.60	$6,013.83	$6,013.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,305.03 / $6,305.03 / $9,495.53	Professional		$6,305.03	$6,305.03	$9,495.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.64 / $1,266.07 / $1,886.44	Facility		$759.64	$1,266.07	$1,886.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $1,582.59	Professional		$1,266.07	$1,266.07	$1,582.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.46 / $1,582.59 / $2,848.66	Professional		$1,139.46	$1,582.59	$2,848.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.30 / $3,174.60 / $4,666.32	Facility		$863.30	$3,174.60	$4,666.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.41 / $1,392.68 / $2,215.62	Professional		$1,196.41	$1,392.68	$2,215.62
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $531.75 / $870.42	Professional		$531.75	$531.75	$870.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,170.82 / $1,266.07 / $1,440.00	Professional		$1,170.82	$1,266.07	$1,440.00