Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.15 / $4,823.68 / $13,518.50	Facility		$1,817.15	$4,823.68	$13,518.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.82 / $1,707.02 / $2,202.60	Professional		$1,541.82	$1,707.02	$2,202.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,340.26 / $2,753.25 / $2,753.25	Professional		$2,340.26	$2,753.25	$2,753.25
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 $1,789.61 / $6,461.74 / $12,267.49	Facility		$1,789.61	$6,461.74	$12,267.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,353.83 / $3,353.83 / $4,018.27	Professional		$3,353.83	$3,353.83	$4,018.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,405.20 / $13,077.94 / $13,077.94	Facility		$4,405.20	$13,077.94	$13,077.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,711.19 / $13,711.19 / $20,649.38	Professional		$13,711.19	$13,711.19	$20,649.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,651.95 / $2,753.25 / $4,030.14	Facility		$1,651.95	$2,753.25	$4,030.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $2,753.25 / $3,441.56	Professional		$2,753.25	$2,753.25	$3,441.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.61 / $3,441.56 / $9,636.37	Professional		$1,789.61	$3,441.56	$9,636.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,734.55 / $2,756.01 / $9,915.90	Facility		$1,734.55	$2,756.01	$9,915.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,601.90 / $3,441.56 / $4,818.18	Professional		$2,601.90	$3,441.56	$4,818.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,156.36 / $1,762.08	Professional		$1,156.36	$1,156.36	$1,762.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $2,753.25	Professional		$208.00	$208.00	$2,753.25