Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Facility		$707.95	$707.95	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,202.26	Professional		$676.08	$776.25	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,621.81	Facility		$79.43	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $11,748.98	Professional		$7,943.28	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,513.56 / $2,398.83	Facility		$524.81	$1,513.56	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,584.89	Professional		$691.83	$794.33	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Professional		$1,071.52	$1,071.52	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,290.87	Facility		$691.83	$1,258.93	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,659.59	Facility		$446.68	$707.95	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,023.29	Professional		$588.84	$851.14	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81