Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.95 / $945.13 / $963.30	Facility		$926.95	$945.13	$963.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.99 / $963.30 / $1,563.09	Professional		$876.99	$963.30	$1,563.09
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 $987.84 / $1,235.93 / $1,235.93	Professional		$987.84	$1,235.93	$1,235.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,075.69 / $2,075.69 / $2,075.69	Facility		$2,075.69	$2,075.69	$2,075.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,335.63	Professional		$975.01	$975.01	$1,335.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,468.71 / $9,614.69 / $9,614.69	Facility		$3,468.71	$9,614.69	$9,614.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,394.85 / $10,394.85 / $15,114.23	Professional		$10,394.85	$10,394.85	$15,114.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $1,558.33 / $2,075.69	Facility		$594.04	$1,558.33	$2,075.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.04 / $1,868.13 / $2,075.69	Professional		$594.04	$1,868.13	$2,075.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.91 / $2,075.69 / $4,670.32	Professional		$1,587.91	$2,075.69	$4,670.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $1,335.63 / $2,075.69	Facility		$594.04	$1,335.63	$2,075.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,375.70	Professional		$975.01	$975.01	$1,375.70
United Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $1,108.89 / $1,320.11	Professional		$766.82	$1,108.89	$1,320.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,105.01 / $1,123.35 / $2,075.69	Professional		$1,105.01	$1,123.35	$2,075.69