Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.10 / $771.94 / $786.79	Facility		$757.10	$771.94	$786.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.27 / $786.79 / $1,132.77	Professional		$716.27	$786.79	$1,132.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $806.83 / $1,009.46	Professional		$806.83	$806.83	$1,009.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,695.33 / $1,695.33 / $1,695.33	Facility		$1,695.33	$1,695.33	$1,695.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,833.03 / $7,852.81 / $7,852.81	Facility		$2,833.03	$7,852.81	$7,852.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,490.04 / $8,490.04 / $12,344.55	Professional		$8,490.04	$8,490.04	$12,344.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.19 / $1,181.48 / $1,695.33	Facility		$485.19	$1,181.48	$1,695.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.19 / $1,525.80 / $1,695.33	Professional		$485.19	$1,525.80	$1,695.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,695.33 / $1,815.70 / $3,890.79	Professional		$1,695.33	$1,815.70	$3,890.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.19 / $1,132.77 / $1,695.33	Facility		$485.19	$1,132.77	$1,695.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $969.57	Professional		$687.17	$687.17	$969.57
United Facility/Professional Professional Modifier Low / Median / High Price $626.29 / $905.69 / $1,078.20	Professional		$626.29	$905.69	$1,078.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $911.57 / $916.09 / $1,695.33	Professional		$911.57	$916.09	$1,695.33