Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.16 / $806.67 / $822.18	Facility		$791.16	$806.67	$822.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.07 / $822.18 / $1,339.47	Professional		$774.07	$822.18	$1,339.47
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 $843.13 / $843.13 / $843.13	Professional		$843.13	$843.13	$843.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,771.62 / $1,771.62 / $1,771.62	Facility		$1,771.62	$1,771.62	$1,771.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,574.40	Professional		$808.12	$808.12	$1,574.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,312.17 / $10,211.21 / $10,211.21	Facility		$9,312.17	$10,211.21	$10,211.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,304.00 / $11,304.00 / $14,700.08	Professional		$11,304.00	$11,304.00	$14,700.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $1,234.65 / $1,771.62	Facility		$570.59	$1,234.65	$1,771.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.59 / $1,615.18 / $1,984.86	Professional		$570.59	$1,615.18	$1,984.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.35 / $1,807.05 / $4,065.86	Professional		$1,626.35	$1,807.05	$4,065.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $1,183.75 / $1,771.62	Facility		$570.59	$1,183.75	$1,771.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $1,609.82	Professional		$808.12	$1,107.01	$1,609.82
United Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $1,065.10 / $1,267.98	Professional		$736.54	$1,065.10	$1,267.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,061.38 / $1,079.00 / $1,771.62	Professional		$1,061.38	$1,079.00	$1,771.62