Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.61 / $872.53 / $1,308.79	Facility		$839.61	$872.53	$1,308.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.61 / $872.53 / $1,599.56	Professional		$801.61	$872.53	$1,599.56
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 $894.76 / $894.76 / $1,119.48	Professional		$894.76	$894.76	$1,119.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,880.12 / $1,880.12 / $1,880.12	Facility		$1,880.12	$1,880.12	$1,880.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,186.93	Professional		$866.46	$866.46	$1,186.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,309.60 / $11,345.23 / $11,345.23	Facility		$9,309.60	$11,345.23	$11,345.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,732.79 / $11,732.79 / $13,815.00	Professional		$11,732.79	$11,732.79	$13,815.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,300.83 / $1,880.12	Facility		$576.95	$1,300.83	$1,880.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.95 / $1,692.11 / $2,370.26	Professional		$576.95	$1,692.11	$2,370.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.95 / $1,974.13 / $3,290.21	Professional		$1,725.95	$1,974.13	$3,290.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,256.23 / $1,880.12	Facility		$576.95	$1,256.23	$1,880.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,265.32	Professional		$866.46	$866.46	$1,265.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $1,076.97 / $1,282.10	Professional		$744.74	$1,076.97	$1,282.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,073.21 / $1,095.47 / $1,880.12	Professional		$1,073.21	$1,095.47	$1,880.12