Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $3,725.10 / $10,358.00	Facility		$1,275.72	$3,725.10	$10,358.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.67 / $1,403.29 / $1,828.53	Professional		$1,190.67	$1,403.29	$1,828.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $61.38 / $107.21	Facility		$22.92	$61.38	$107.21
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 $1,399.31 / $4,837.10 / $9,472.77	Facility		$1,399.31	$4,837.10	$9,472.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.91 / $2,589.91 / $3,103.00	Professional		$2,589.91	$2,589.91	$3,103.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,401.92 / $10,099.45 / $10,099.45	Facility		$3,401.92	$10,099.45	$10,099.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,588.48 / $10,588.48 / $15,946.50	Professional		$10,588.48	$10,588.48	$15,946.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.72 / $2,126.19 / $3,137.90	Facility		$1,275.72	$2,126.19	$3,137.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,657.75	Professional		$2,126.19	$2,126.19	$2,657.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,870.37 / $4,783.95	Professional		$2,126.19	$2,870.37	$4,783.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,469.28 / $4,879.26 / $11,270.37	Facility		$1,469.28	$4,879.26	$11,270.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $2,551.44 / $3,720.85	Professional		$1,913.58	$2,551.44	$3,720.85
United Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $2,126.19 / $2,551.44	Facility		$893.00	$2,126.19	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $1,360.77	Professional		$893.00	$893.00	$1,360.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $2,126.19	Professional		$13.28	$13.28	$2,126.19