Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.09 / $911.62 / $929.15	Facility		$894.09	$911.62	$929.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.02 / $929.15 / $1,507.67	Professional		$859.02	$929.15	$1,507.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.10 / $1,192.10 / $1,192.10	Professional		$1,192.10	$1,192.10	$1,192.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,002.10 / $2,002.10 / $2,002.10	Facility		$2,002.10	$2,002.10	$2,002.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,304.10	Professional		$952.00	$952.00	$1,304.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,402.94 / $11,110.30 / $11,110.30	Facility		$10,402.94	$11,110.30	$11,110.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,980.54 / $11,980.54 / $16,083.15	Professional		$11,980.54	$11,980.54	$16,083.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $1,385.24 / $2,002.10	Facility		$644.82	$1,385.24	$2,002.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.82 / $1,841.93 / $2,002.10	Professional		$644.82	$1,841.93	$2,002.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,102.19 / $2,102.19 / $2,144.25	Professional		$2,102.19	$2,102.19	$2,144.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $1,337.75 / $2,002.10	Facility		$644.82	$1,337.75	$2,002.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,343.23	Professional		$952.00	$952.00	$1,343.23
United Facility/Professional Professional Modifier Low / Median / High Price $832.36 / $1,203.67 / $1,432.94	Professional		$832.36	$1,203.67	$1,432.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,199.46 / $1,247.18 / $2,002.10	Professional		$1,199.46	$1,247.18	$2,002.10