Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $676.08	Facility		$660.69	$660.69	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,096.48	Professional		$602.56	$724.44	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,265.80	Facility		$3,548.13	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,513.56 / $1,513.56	Facility		$79.43	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,023.29	Professional		$741.31	$741.31	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,549.93 / $9,549.93	Professional		$7,244.36	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,318.26 / $2,238.72	Facility		$407.38	$1,318.26	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,348.96	Professional		$645.65	$758.58	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Professional		$645.65	$741.31	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,174.90 / $2,089.30	Facility		$630.96	$1,174.90	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,023.29	Professional		$741.31	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,445.44	Facility		$398.11	$630.96	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $912.01	Professional		$524.81	$776.25	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56