Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.33 / $835.41 / $952.40	Facility		$707.33	$835.41	$952.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $922.02 / $1,113.09	Professional		$733.02	$922.02	$1,113.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.88 / $2,430.84 / $3,798.18	Facility		$936.88	$2,430.84	$3,798.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $197.95 / $1,478.81	Professional		$115.91	$197.95	$1,478.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $716.30 / $716.30 / $944.24	Facility		$716.30	$716.30	$944.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.29 / $804.30 / $1,052.17	Facility		$795.29	$804.30	$1,052.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.59 / $1,186.07 / $1,920.10	Professional		$853.59	$1,186.07	$1,920.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.48 / $4,622.13 / $4,622.13	Facility		$1,654.48	$4,622.13	$4,622.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,839.98 / $5,839.98 / $7,176.15	Professional		$5,839.98	$5,839.98	$7,176.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.29 / $913.72 / $1,731.35	Facility		$747.29	$913.72	$1,731.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.32 / $1,263.98 / $1,993.93	Professional		$1,053.32	$1,263.98	$1,993.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $906.52 / $1,573.89	Professional		$131.11	$906.52	$1,573.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $750.58 / $913.19 / $1,578.24	Facility		$750.58	$913.19	$1,578.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.36 / $1,290.39 / $2,471.04	Professional		$877.36	$1,290.39	$2,471.04
United Facility/Professional Professional Modifier Low / Median / High Price $812.41 / $1,064.07 / $1,773.45	Professional		$812.41	$1,064.07	$1,773.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.08 / $784.95 / $1,123.00	Professional		$705.08	$784.95	$1,123.00