Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.81 / $3,395.41 / $9,515.62	Facility		$1,162.81	$3,395.41	$9,515.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.29 / $1,220.95 / $1,647.31	Professional		$1,085.29	$1,220.95	$1,647.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.31 / $1,938.01 / $1,938.01	Professional		$1,647.31	$1,938.01	$1,938.01
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 $1,259.71 / $4,548.43 / $8,634.81	Facility		$1,259.71	$4,548.43	$8,634.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,360.51 / $2,360.51 / $2,828.16	Professional		$2,360.51	$2,360.51	$2,828.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,100.82 / $9,205.54 / $9,205.54	Facility		$3,100.82	$9,205.54	$9,205.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,651.29 / $9,651.29 / $14,535.08	Professional		$9,651.29	$9,651.29	$14,535.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.81 / $1,938.01 / $2,836.58	Facility		$1,162.81	$1,938.01	$2,836.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $2,422.51	Professional		$1,938.01	$1,938.01	$2,422.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.71 / $2,422.51 / $6,783.03	Professional		$1,259.71	$2,422.51	$6,783.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,297.78 / $1,995.38 / $6,979.52	Facility		$1,297.78	$1,995.38	$6,979.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,831.30 / $2,344.98 / $3,391.52	Professional		$1,831.30	$2,344.98	$3,391.52
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $813.96 / $1,240.33	Professional		$813.96	$813.96	$1,240.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $74.88 / $1,938.01	Professional		$33.47	$74.88	$1,938.01