Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.46 / $786.59 / $801.72	Facility		$771.46	$786.59	$801.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.08 / $801.72 / $1,300.90	Professional		$726.08	$801.72	$1,300.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.61 / $1,028.61 / $1,028.61	Professional		$1,028.61	$1,028.61	$1,028.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,727.51 / $1,727.51 / $1,727.51	Facility		$1,727.51	$1,727.51	$1,727.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,025.33	Professional		$748.49	$748.49	$1,025.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,501.27 / $8,657.11 / $8,657.11	Facility		$8,501.27	$8,657.11	$8,657.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,927.28 / $9,927.28 / $14,526.53	Professional		$9,927.28	$9,927.28	$14,526.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $1,195.26 / $1,727.51	Facility		$516.66	$1,195.26	$1,727.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.66 / $1,554.76 / $1,875.04	Professional		$516.66	$1,554.76	$1,875.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.89 / $1,813.89 / $1,850.16	Professional		$1,813.89	$1,813.89	$1,850.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $1,154.28 / $1,727.51	Facility		$516.66	$1,154.28	$1,727.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,093.05	Professional		$748.49	$748.49	$1,093.05
United Facility/Professional Professional Modifier Low / Median / High Price $666.93 / $986.61 / $1,148.15	Professional		$666.93	$986.61	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $961.08 / $975.53 / $1,727.51	Professional		$961.08	$975.53	$1,727.51