Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.90 / $859.42 / $875.95	Facility		$842.90	$859.42	$875.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $875.95 / $1,698.34	Professional		$824.09	$875.95	$1,698.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.85 / $1,123.85 / $1,123.85	Professional		$1,123.85	$1,123.85	$1,123.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,887.48 / $1,887.48 / $1,887.48	Facility		$1,887.48	$1,887.48	$1,887.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,179.41	Professional		$860.97	$860.97	$1,179.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,013.70 / $10,066.52 / $10,066.52	Facility		$10,013.70	$10,066.52	$10,066.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,532.82 / $12,532.82 / $18,195.68	Professional		$12,532.82	$12,532.82	$18,195.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $1,305.94 / $1,887.48	Facility		$607.91	$1,305.94	$1,887.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $607.91 / $1,736.48 / $2,516.63	Professional		$607.91	$1,736.48	$2,516.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.48 / $2,076.23 / $4,246.83	Professional		$1,887.48	$2,076.23	$4,246.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $1,261.16 / $1,887.48	Facility		$607.91	$1,261.16	$1,887.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,214.79	Professional		$860.97	$860.97	$1,214.79
United Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $1,134.76 / $1,350.91	Professional		$784.70	$1,134.76	$1,350.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,130.79 / $1,137.16 / $1,887.48	Professional		$1,130.79	$1,137.16	$1,887.48