Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.39 / $688.64 / $701.88	Facility		$675.39	$688.64	$701.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $701.88 / $1,138.90	Professional		$635.66	$701.88	$1,138.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.52 / $900.52 / $900.52	Professional		$900.52	$900.52	$900.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,512.39 / $1,512.39 / $1,512.39	Facility		$1,512.39	$1,512.39	$1,512.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,038.85	Professional		$758.37	$758.37	$1,038.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,527.36 / $7,005.45 / $7,005.45	Facility		$2,527.36	$7,005.45	$7,005.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,574.03 / $7,574.03 / $11,012.40	Professional		$7,574.03	$7,574.03	$11,012.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $1,046.40 / $1,512.39	Facility		$432.84	$1,046.40	$1,512.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.84 / $1,391.40 / $1,512.39	Professional		$432.84	$1,391.40	$1,512.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.01 / $1,588.01 / $1,619.77	Professional		$1,588.01	$1,588.01	$1,619.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $1,038.85 / $1,512.39	Facility		$432.84	$1,038.85	$1,512.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,107.48	Professional		$758.37	$758.37	$1,107.48
United Facility/Professional Professional Modifier Low / Median / High Price $558.72 / $807.96 / $961.86	Professional		$558.72	$807.96	$961.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $797.06 / $805.13 / $1,512.39	Professional		$797.06	$805.13	$1,512.39