Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $8,709.64	Facility		$1,148.15	$2,754.23	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,089.30	Professional		$1,148.15	$1,445.44	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
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 $1,230.27 / $2,691.53 / $8,511.38	Facility		$1,230.27	$2,691.53	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,754.23	Professional		$2,290.87	$2,290.87	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $14,125.38	Professional		$9,549.93	$14,125.38	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,548.13	Facility		$1,318.26	$1,905.46	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,344.23	Professional		$1,148.15	$1,548.82	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $4,073.80	Professional		$1,905.46	$2,041.74	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $5,248.07	Facility		$1,318.26	$1,905.46	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,311.31	Professional		$1,698.24	$2,089.30	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,905.46	Facility		$676.08	$794.33	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,318.26	Professional		$794.33	$794.33	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $1,905.46	Professional		$1,513.56	$1,905.46	$1,905.46