Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.43 / $681.54 / $694.64	Facility		$668.43	$681.54	$694.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.11 / $694.64 / $1,127.16	Professional		$629.11	$694.64	$1,127.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.24 / $891.24 / $891.24	Professional		$891.24	$891.24	$891.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $1,496.80	Facility		$1,496.80	$1,496.80	$1,496.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $831.10	Facility		$831.10	$831.10	$831.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,162.80	Professional		$606.70	$606.70	$1,162.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,501.35 / $6,933.23 / $6,933.23	Facility		$2,501.35	$6,933.23	$6,933.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,495.95 / $7,495.95 / $10,898.85	Professional		$7,495.95	$7,495.95	$10,898.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.38 / $1,123.73 / $1,496.80	Facility		$428.38	$1,123.73	$1,496.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.38 / $1,347.12 / $1,496.80	Professional		$428.38	$1,347.12	$1,496.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,347.12 / $1,496.80 / $3,435.16	Professional		$1,347.12	$1,496.80	$3,435.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.38 / $899.88 / $1,496.80	Facility		$428.38	$899.88	$1,496.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $831.10 / $1,188.96	Professional		$606.70	$831.10	$1,188.96
United Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $799.63 / $951.95	Professional		$552.96	$799.63	$951.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.84 / $804.54 / $1,496.80	Professional		$796.84	$804.54	$1,496.80