Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.47 / $879.38 / $896.29	Facility		$862.47	$879.38	$896.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $896.29 / $1,454.36	Professional		$837.79	$896.29	$1,454.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.96 / $1,149.96 / $1,149.96	Professional		$1,149.96	$1,149.96	$1,149.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,931.31 / $1,931.31 / $1,931.31	Facility		$1,931.31	$1,931.31	$1,931.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,206.80	Professional		$880.96	$880.96	$1,206.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,169.41 / $10,300.32 / $10,300.32	Facility		$10,169.41	$10,300.32	$10,300.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,823.90 / $12,823.90 / $17,622.59	Professional		$12,823.90	$12,823.90	$17,622.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $1,345.93 / $1,931.31	Facility		$622.02	$1,345.93	$1,931.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $622.02 / $1,776.81 / $1,931.31	Professional		$622.02	$1,776.81	$1,931.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.31 / $2,124.44 / $4,345.45	Professional		$1,931.31	$2,124.44	$4,345.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $1,290.44 / $1,931.31	Facility		$622.02	$1,290.44	$1,931.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,243.00	Professional		$880.96	$880.96	$1,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.93 / $1,187.79 / $1,382.27	Professional		$802.93	$1,187.79	$1,382.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.05 / $1,176.26 / $1,931.31	Professional		$1,157.05	$1,176.26	$1,931.31