Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.78 / $983.70 / $1,002.62	Facility		$964.78	$983.70	$1,002.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.95 / $1,002.62 / $1,626.89	Professional		$926.95	$1,002.62	$1,626.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.16 / $1,028.16 / $1,286.38	Professional		$1,028.16	$1,028.16	$1,286.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,160.40 / $2,160.40 / $2,160.40	Facility		$2,160.40	$2,160.40	$2,160.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,327.28	Professional		$968.91	$968.91	$1,327.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,068.57 / $12,032.65 / $12,032.65	Facility		$11,068.57	$12,032.65	$12,032.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,159.31 / $12,159.31 / $17,099.78	Professional		$12,159.31	$12,159.31	$17,099.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $1,494.77 / $2,160.40	Facility		$684.12	$1,494.77	$2,160.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.12 / $1,987.57 / $2,160.40	Professional		$684.12	$1,987.57	$2,160.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.42 / $2,268.42 / $2,313.79	Professional		$2,268.42	$2,268.42	$2,313.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $1,443.52 / $2,160.40	Facility		$684.12	$1,443.52	$2,160.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,414.94	Professional		$968.91	$968.91	$1,414.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,407.34 / $2,832.16	Facility		$2,407.34	$2,407.34	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $883.09 / $1,277.03 / $1,520.27	Professional		$883.09	$1,277.03	$1,520.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,271.10 / $1,272.56 / $2,160.40	Professional		$1,271.10	$1,272.56	$2,160.40