Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $6,785.50 / $19,016.40	Facility		$2,323.80	$6,785.50	$19,016.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,711.10 / $3,330.78	Professional		$2,168.88	$2,711.10	$3,330.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Professional		$3,873.00	$3,873.00	$3,873.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,579.92 / $8,508.98 / $17,256.00	Facility		$2,579.92	$8,508.98	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,859.04 / $4,717.52 / $5,652.12	Professional		$1,859.04	$4,717.52	$5,652.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,196.80 / $18,396.75 / $18,396.75	Facility		$6,196.80	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $5,424.58	Facility		$2,323.80	$3,873.00	$5,424.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,679.35 / $3,873.00 / $4,841.25	Professional		$3,679.35	$3,873.00	$4,841.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $4,841.25 / $13,555.50	Professional		$2,517.44	$4,841.25	$13,555.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,708.93 / $8,458.62 / $20,530.61	Facility		$2,708.93	$8,458.62	$20,530.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $4,686.33 / $6,777.75	Professional		$2,265.71	$4,686.33	$6,777.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $2,323.80	Professional		$1,626.66	$1,626.66	$2,323.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $573.20 / $1,510.47 / $3,873.00	Professional		$573.20	$1,510.47	$3,873.00