Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.75 / $959.75 / $1,036.52	Facility		$959.75	$959.75	$1,036.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.27 / $1,036.52 / $1,919.49	Professional		$953.27	$1,036.52	$1,919.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.25 / $1,305.25 / $1,305.25	Professional		$1,305.25	$1,305.25	$1,305.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,192.12 / $2,192.12 / $2,192.12	Facility		$2,192.12	$2,192.12	$2,192.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,573.58	Professional		$1,148.71	$1,148.71	$1,573.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,671.83 / $11,554.47 / $11,554.47	Facility		$9,671.83	$11,554.47	$11,554.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,676.10 / $11,676.10 / $13,682.93	Professional		$11,676.10	$11,676.10	$13,682.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $1,527.69 / $2,192.12	Facility		$587.59	$1,527.69	$2,192.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.22 / $1,938.70 / $2,192.12	Professional		$594.22	$1,938.70	$2,192.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.97 / $2,235.96 / $4,932.27	Professional		$1,676.97	$2,235.96	$4,932.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $1,537.95 / $2,192.12	Facility		$587.59	$1,537.95	$2,192.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,611.99	Professional		$1,148.71	$1,148.71	$1,611.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $758.48 / $1,122.04 / $1,392.81	Professional		$758.48	$1,122.04	$1,392.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $1,114.58 / $2,192.12	Professional		$1,103.96	$1,114.58	$2,192.12