Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.66 / $664.44 / $677.22	Facility		$651.66	$664.44	$677.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.33 / $677.22 / $1,098.88	Professional		$613.33	$677.22	$1,098.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.88 / $868.88 / $868.88	Professional		$868.88	$868.88	$868.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,459.25 / $1,459.25 / $1,459.25	Facility		$1,459.25	$1,459.25	$1,459.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,071.82 / $6,718.33 / $8,075.38	Facility		$3,071.82	$6,718.33	$8,075.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,710.91 / $9,943.96 / $9,943.96	Professional		$9,710.91	$9,943.96	$9,943.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $1,009.66 / $1,459.25	Facility		$410.67	$1,009.66	$1,459.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $1,313.33 / $1,459.25	Professional		$410.67	$1,313.33	$1,459.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.14 / $1,711.71 / $2,388.98	Professional		$1,678.14	$1,711.71	$2,388.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $1,016.97 / $1,459.25	Facility		$410.67	$1,016.97	$1,459.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,089.07	Professional		$771.87	$771.87	$1,089.07
United Facility/Professional Professional Modifier Low / Median / High Price $530.10 / $766.58 / $912.59	Professional		$530.10	$766.58	$912.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $775.39 / $1,459.25	Professional		$763.90	$775.39	$1,459.25