Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.18 / $810.77 / $1,861.60	Facility		$780.18	$810.77	$1,861.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.88 / $810.77 / $1,315.59	Professional		$764.88	$810.77	$1,315.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.43 / $1,040.24 / $1,040.24	Professional		$831.43	$1,040.24	$1,040.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,747.03 / $1,747.03 / $1,747.03	Facility		$1,747.03	$1,747.03	$1,747.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,108.41	Professional		$809.14	$809.14	$1,108.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,247.12 / $9,872.78 / $9,872.78	Facility		$9,247.12	$9,872.78	$9,872.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,100.47 / $11,100.47 / $16,188.90	Professional		$11,100.47	$11,100.47	$16,188.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,217.50 / $1,747.03	Facility		$562.66	$1,217.50	$1,747.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.66 / $1,592.56 / $1,910.97	Professional		$562.66	$1,592.56	$1,910.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,834.38 / $1,834.38 / $1,871.07	Professional		$1,834.38	$1,834.38	$1,871.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,167.31 / $1,747.03	Facility		$562.66	$1,167.31	$1,747.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,181.61	Professional		$809.14	$809.14	$1,181.61
United Facility/Professional Professional Modifier Low / Median / High Price $726.31 / $1,050.32 / $1,250.38	Professional		$726.31	$1,050.32	$1,250.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.64 / $1,069.65 / $1,747.03	Professional		$1,046.64	$1,069.65	$1,747.03