Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $1,054.27 / $2,468.52	Facility		$1,028.55	$1,054.27	$2,468.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,054.27 / $1,265.11	Professional		$1,028.55	$1,054.27	$1,265.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.55 / $1,103.55 / $1,103.55	Professional		$1,103.55	$1,103.55	$1,103.55
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 $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.38 / $5,678.45 / $5,678.45	Facility		$1,244.38	$5,678.45	$5,678.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,885.62 / $4,885.62 / $5,785.61	Professional		$4,885.62	$4,885.62	$5,785.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.23 / $1,067.11 / $1,491.09	Facility		$401.23	$1,067.11	$1,491.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $400.74 / $768.65 / $964.27	Professional		$400.74	$768.65	$964.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $492.90 / $596.40	Professional		$27.40	$492.90	$596.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.79 / $1,075.35 / $1,491.09	Facility		$401.79	$1,075.35	$1,491.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,339.26	Professional		$1,092.83	$1,092.83	$1,339.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,192.70	Professional		$1,071.41	$1,135.69	$1,192.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,499.97	Professional		$1,071.41	$1,071.41	$1,499.97