Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.02 / $1,066.53 / $1,087.04	Facility		$1,046.02	$1,066.53	$1,087.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.48 / $1,087.04 / $1,763.87	Professional		$984.48	$1,087.04	$1,763.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.73 / $1,394.69 / $1,394.69	Professional		$1,114.73	$1,394.69	$1,394.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,342.32 / $2,342.32 / $2,342.32	Facility		$2,342.32	$2,342.32	$2,342.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $949.40	Professional		$949.40	$949.40	$949.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,914.25 / $10,889.80 / $10,889.80	Facility		$3,914.25	$10,889.80	$10,889.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,730.04 / $11,730.04 / $17,055.45	Professional		$11,730.04	$11,730.04	$17,055.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $1,620.62 / $2,342.32	Facility		$670.35	$1,620.62	$2,342.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.35 / $2,108.09 / $2,342.32	Professional		$670.35	$2,108.09	$2,342.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.67 / $2,747.55 / $3,834.65	Professional		$2,693.67	$2,747.55	$3,834.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $1,565.06 / $2,342.32	Facility		$670.35	$1,565.06	$2,342.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,890.83	Professional		$949.40	$949.40	$1,890.83
United Facility/Professional Professional Modifier Low / Median / High Price $865.31 / $1,251.32 / $1,489.67	Professional		$865.31	$1,251.32	$1,489.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,246.95 / $1,250.07 / $2,342.32	Professional		$1,246.95	$1,250.07	$2,342.32