Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Facility		$713.50	$713.50	$720.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $856.20	Professional		$713.50	$713.50	$856.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $127.00	Facility		$121.37	$121.37	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $713.50 / $713.50	Facility		$673.11	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.50 / $1,812.38 / $5,654.61	Facility		$1,351.50	$1,812.38	$5,654.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,654.61 / $5,654.61 / $5,654.61	Professional		$5,654.61	$5,654.61	$5,654.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.64 / $941.46 / $1,512.62	Facility		$720.64	$941.46	$1,512.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $891.88	Professional		$713.50	$713.50	$891.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $770.58 / $2,881.66	Professional		$148.10	$770.58	$2,881.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,512.62	Facility		$713.50	$713.50	$1,512.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,009.67	Professional		$713.50	$713.50	$1,009.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,609.18 / $1,609.18 / $1,609.18	Facility		$1,609.18	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $728.48	Professional		$713.50	$713.50	$728.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,280.74	Professional		$713.50	$713.50	$1,280.74