Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.55 / $739.77 / $754.00	Facility		$725.55	$739.77	$754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $754.00 / $1,223.47	Professional		$697.09	$754.00	$1,223.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.21 / $773.21 / $967.40	Professional		$773.21	$773.21	$967.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,624.70 / $1,624.70 / $1,624.70	Facility		$1,624.70	$1,624.70	$1,624.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $752.17	Professional		$752.17	$752.17	$752.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,469.88 / $8,437.43 / $10,110.42	Facility		$3,469.88	$8,437.43	$10,110.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,969.29 / $11,232.54 / $12,751.35	Professional		$10,969.29	$11,232.54	$12,751.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.15 / $1,219.76 / $1,664.36	Facility		$514.15	$1,219.76	$1,664.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.15 / $1,462.23 / $1,624.70	Professional		$514.15	$1,462.23	$1,624.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.70 / $1,740.05 / $6,222.60	Professional		$1,624.70	$1,740.05	$6,222.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.15 / $1,050.86 / $1,624.70	Facility		$514.15	$1,050.86	$1,624.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,349.88	Professional		$752.17	$752.17	$1,349.88
United Facility/Professional Professional Modifier Low / Median / High Price $663.68 / $959.75 / $1,142.56	Professional		$663.68	$959.75	$1,142.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $956.40 / $970.78 / $1,624.70	Professional		$956.40	$970.78	$1,624.70