Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.01 / $553.66 / $564.30	Facility		$543.01	$553.66	$564.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.71 / $564.30 / $915.67	Professional		$513.71	$564.30	$915.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.02 / $724.02 / $724.02	Professional		$724.02	$724.02	$724.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,215.95 / $1,215.95 / $1,215.95	Facility		$1,215.95	$1,215.95	$1,215.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $782.41	Professional		$571.16	$571.16	$782.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.94 / $5,632.19 / $5,632.19	Facility		$2,031.94	$5,632.19	$5,632.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,089.34 / $6,089.34 / $8,853.53	Professional		$6,089.34	$6,089.34	$8,853.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $841.30 / $1,215.95	Facility		$347.99	$841.30	$1,215.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $1,118.67 / $1,215.95	Professional		$347.99	$1,118.67	$1,215.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.75 / $1,276.75 / $1,302.28	Professional		$1,276.75	$1,276.75	$1,302.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $812.45 / $1,215.95	Facility		$347.99	$812.45	$1,215.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $805.88	Professional		$571.16	$571.16	$805.88
United Facility/Professional Professional Modifier Low / Median / High Price $449.20 / $649.57 / $773.30	Professional		$449.20	$649.57	$773.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $657.04 / $1,215.95	Professional		$647.30	$657.04	$1,215.95