Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.49 / $921.88 / $1,421.30	Facility		$746.49	$921.88	$1,421.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.80 / $868.84 / $1,355.28	Professional		$722.80	$868.84	$1,355.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.22 / $1,023.99 / $1,523.64	Professional		$764.22	$1,023.99	$1,523.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $832.94 / $832.94 / $832.94	Facility		$832.94	$832.94	$832.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.88 / $1,249.74 / $1,897.55	Professional		$901.88	$1,249.74	$1,897.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,334.71	Facility		$55.00	$55.00	$8,334.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,480.32 / $6,672.80 / $8,156.10	Professional		$6,480.32	$6,672.80	$8,156.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $888.31 / $1,257.96 / $2,082.75	Facility		$888.31	$1,257.96	$2,082.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.61 / $1,393.14 / $1,638.99	Professional		$1,001.61	$1,393.14	$1,638.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.40 / $1,469.40 / $1,469.40	Professional		$1,469.40	$1,469.40	$1,469.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $1,269.33 / $2,203.38	Facility		$890.16	$1,269.33	$2,203.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.88 / $1,261.00 / $1,938.38	Professional		$901.88	$1,261.00	$1,938.38
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.42 / $1,043.98 / $1,666.37	Professional		$795.42	$1,043.98	$1,666.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.13 / $888.31 / $1,212.04	Professional		$777.13	$888.31	$1,212.04