Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $727.42 / $741.41	Facility		$713.43	$727.42	$741.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.46 / $741.41 / $1,203.04	Professional		$671.46	$741.41	$1,203.04
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 $760.29 / $760.29 / $951.24	Professional		$760.29	$760.29	$951.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,597.56 / $1,597.56 / $1,597.56	Facility		$1,597.56	$1,597.56	$1,597.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,669.74 / $7,399.97 / $7,399.97	Facility		$2,669.74	$7,399.97	$7,399.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,000.67 / $8,000.67 / $11,632.50	Professional		$8,000.67	$8,000.67	$11,632.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $1,199.36 / $1,597.56	Facility		$457.21	$1,199.36	$1,597.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.21 / $1,384.55 / $1,597.56	Professional		$457.21	$1,384.55	$1,597.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.56 / $1,710.99 / $6,118.65	Professional		$1,597.56	$1,710.99	$6,118.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $1,115.23 / $1,597.56	Facility		$457.21	$1,115.23	$1,597.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,188.90	Professional		$814.12	$814.12	$1,188.90
United Facility/Professional Professional Modifier Low / Median / High Price $590.19 / $853.46 / $1,016.03	Professional		$590.19	$853.46	$1,016.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $850.48 / $929.30 / $1,597.56	Professional		$850.48	$929.30	$1,597.56