Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $879.92 / $896.84	Facility		$863.00	$879.92	$896.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.23 / $896.84 / $1,455.25	Professional		$812.23	$896.84	$1,455.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.69 / $919.69 / $919.69	Professional		$919.69	$919.69	$919.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,932.48 / $1,932.48 / $1,932.48	Facility		$1,932.48	$1,932.48	$1,932.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,271.89 / $9,141.02 / $10,896.03	Facility		$4,271.89	$9,141.02	$10,896.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,504.73 / $13,828.86 / $13,828.86	Professional		$13,504.73	$13,828.86	$13,828.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $1,337.08 / $1,932.48	Facility		$554.10	$1,337.08	$1,932.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $554.10 / $1,739.23 / $1,932.48	Professional		$554.10	$1,739.23	$1,932.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,222.35 / $2,266.80 / $3,163.72	Professional		$2,222.35	$2,266.80	$3,163.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $1,291.23 / $1,932.48	Facility		$554.10	$1,291.23	$1,932.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,249.01	Professional		$885.22	$885.22	$1,249.01
United Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $1,058.08 / $1,231.33	Professional		$715.25	$1,058.08	$1,231.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,030.71 / $1,047.83 / $1,932.48	Professional		$1,030.71	$1,047.83	$1,932.48