Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $16,218.10	Facility		$2,137.96	$5,128.61	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,981.07	Professional		$2,137.96	$2,754.23	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,630.78 / $16,218.10	Facility		$79.43	$3,630.78	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $16,218.10	Facility		$2,344.23	$2,754.23	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,365.16 / $5,248.07	Professional		$1,905.46	$4,365.16	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Professional		$18,197.01	$26,915.35	$26,915.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $6,760.83	Facility		$2,691.53	$3,630.78	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,466.84	Professional		$2,137.96	$2,884.03	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $7,585.78	Professional		$3,467.37	$3,890.45	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $10,715.19	Facility		$2,511.89	$3,630.78	$10,715.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $6,309.57	Professional		$1,905.46	$3,801.89	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,630.78	Facility		$1,288.25	$1,513.56	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,454.71	Professional		$1,513.56	$1,513.56	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $3,630.78	Professional		$1,412.54	$3,630.78	$3,630.78