Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.55 / $995.70 / $1,014.85	Facility		$976.55	$995.70	$1,014.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.11 / $1,014.85 / $1,646.74	Professional		$919.11	$1,014.85	$1,646.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.07 / $1,302.07 / $1,302.07	Professional		$1,302.07	$1,302.07	$1,302.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,186.77 / $2,186.77 / $2,186.77	Facility		$2,186.77	$2,186.77	$2,186.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.17 / $1,214.17 / $1,214.17	Facility		$1,214.17	$1,214.17	$1,214.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.34 / $886.34 / $1,214.17	Professional		$886.34	$886.34	$1,214.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,654.22 / $10,128.96 / $10,128.96	Facility		$3,654.22	$10,128.96	$10,128.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,951.02 / $10,951.02 / $15,922.50	Professional		$10,951.02	$10,951.02	$15,922.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,641.72 / $2,186.77	Facility		$625.83	$1,641.72	$2,186.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.83 / $2,011.83 / $2,186.77	Professional		$625.83	$2,011.83	$2,186.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.88 / $2,186.77 / $4,920.22	Professional		$1,672.88	$2,186.77	$4,920.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,314.69 / $2,186.77	Facility		$625.83	$1,314.69	$2,186.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.34 / $886.34 / $1,574.53	Professional		$886.34	$886.34	$1,574.53
United Facility/Professional Professional Modifier Low / Median / High Price $807.83 / $1,168.21 / $1,390.73	Professional		$807.83	$1,168.21	$1,390.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,164.16 / $1,183.49 / $2,186.77	Professional		$1,164.16	$1,183.49	$2,186.77