Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.82 / $689.82 / $745.00	Facility		$689.82	$689.82	$745.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.82 / $745.00 / $1,379.63	Professional		$689.82	$745.00	$1,379.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.15 / $938.15 / $938.15	Professional		$938.15	$938.15	$938.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,575.58 / $1,575.58 / $1,575.58	Facility		$1,575.58	$1,575.58	$1,575.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,105.99	Professional		$807.37	$807.37	$1,105.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,263.59 / $7,374.61 / $7,374.61	Facility		$7,263.59	$7,374.61	$7,374.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,124.39 / $8,124.39 / $12,463.80	Professional		$8,124.39	$8,124.39	$12,463.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $1,098.01 / $1,575.58	Facility		$444.65	$1,098.01	$1,575.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.68 / $1,418.02 / $1,641.29	Professional		$449.68	$1,418.02	$1,641.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.32 / $1,607.09 / $3,545.05	Professional		$1,205.32	$1,607.09	$3,545.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $1,105.99 / $1,575.58	Facility		$444.65	$1,105.99	$1,575.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,139.17	Professional		$807.37	$807.37	$1,139.17
United Facility/Professional Professional Modifier Low / Median / High Price $573.98 / $849.10 / $1,037.76	Professional		$573.98	$849.10	$1,037.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $835.41 / $843.45 / $1,575.58	Professional		$835.41	$843.45	$1,575.58