Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,905.46 / $6,025.60	Facility		$691.83	$1,905.46	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,412.54	Professional		$691.83	$933.25	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,890.45 / $6,309.57	Facility		$1,348.96	$3,890.45	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $630.96 / $1,148.15	Professional		$5.01	$630.96	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,148.15	Facility		$79.43	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,137.96 / $5,128.61	Facility		$758.58	$2,137.96	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $2,089.30	Professional		$602.56	$1,174.90	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,709.64 / $8,709.64	Professional		$5,754.40	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $5,011.87	Facility		$870.96	$1,174.90	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $933.25 / $1,445.44	Professional		$6.03	$933.25	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $2,454.71	Professional		$1,148.15	$1,258.93	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $3,235.94	Facility		$812.83	$1,202.26	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,230.27 / $2,041.74	Professional		$602.56	$1,230.27	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $1,148.15	Facility		$416.87	$489.78	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $794.33	Professional		$489.78	$489.78	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,148.15	Professional		$457.09	$1,148.15	$1,148.15