Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $13,803.84	Facility		$1,819.70	$4,365.16	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,951.21	Professional		$1,819.70	$2,290.87	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
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 $1,949.84 / $4,365.16 / $13,489.63	Facility		$1,949.84	$4,365.16	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,466.84	Professional		$3,715.35	$3,715.35	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $22,908.68 / $22,908.68	Professional		$15,135.61	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,623.41	Facility		$2,290.87	$3,019.95	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,801.89	Professional		$1,819.70	$2,398.83	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $6,456.54	Professional		$3,019.95	$3,311.31	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $8,317.64	Facility		$2,137.96	$3,019.95	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $5,248.07	Professional		$2,754.23	$3,311.31	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $3,019.95	Facility		$1,096.48	$1,258.93	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Professional		$1,258.93	$1,258.93	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $3,019.95	Professional		$1,479.11	$3,019.95	$3,019.95