Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.28 / $625.30 / $637.33	Facility		$613.28	$625.30	$637.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.26 / $637.33 / $1,034.16	Professional		$601.26	$637.33	$1,034.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.71 / $817.71 / $817.71	Professional		$817.71	$817.71	$817.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,373.30 / $1,373.30 / $1,373.30	Facility		$1,373.30	$1,373.30	$1,373.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $888.38	Professional		$648.52	$648.52	$888.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,400.81 / $8,119.13 / $8,119.13	Facility		$7,400.81	$8,119.13	$8,119.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,204.59 / $8,204.59 / $11,854.58	Professional		$8,204.59	$8,204.59	$11,854.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.31 / $957.06 / $1,373.30	Facility		$442.31	$957.06	$1,373.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.31 / $1,263.44 / $1,461.88	Professional		$442.31	$1,263.44	$1,461.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.30 / $1,510.63 / $3,089.93	Professional		$1,373.30	$1,510.63	$3,089.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.31 / $917.60 / $1,373.30	Facility		$442.31	$917.60	$1,373.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $947.05	Professional		$648.52	$648.52	$947.05
United Facility/Professional Professional Modifier Low / Median / High Price $570.94 / $814.95 / $982.90	Professional		$570.94	$814.95	$982.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.75 / $829.97 / $1,373.30	Professional		$822.75	$829.97	$1,373.30