Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.67 / $5,399.46 / $14,877.30	Facility		$2,290.67	$5,399.46	$14,877.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.35 / $2,121.00 / $3,110.00	Professional		$1,651.35	$2,121.00	$3,110.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00
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 $1,969.50 / $7,111.27 / $13,499.51	Facility		$1,969.50	$7,111.27	$13,499.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,690.49 / $3,690.49 / $4,421.62	Professional		$3,690.49	$3,690.49	$4,421.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,848.00 / $14,392.50 / $14,392.50	Facility		$4,848.00	$14,392.50	$14,392.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,150.00 / $15,150.00 / $22,725.00	Professional		$15,150.00	$15,150.00	$22,725.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,818.00 / $3,030.00 / $4,435.16	Facility		$1,818.00	$3,030.00	$4,435.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,787.50	Professional		$3,030.00	$3,030.00	$3,787.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $3,787.50 / $10,605.00	Professional		$1,969.50	$3,787.50	$10,605.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,098.34 / $7,015.48 / $16,061.25	Facility		$2,098.34	$7,015.48	$16,061.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,863.25 / $3,666.30 / $5,302.50	Professional		$2,863.25	$3,666.30	$5,302.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,272.59 / $1,818.00	Professional		$1,272.59	$1,272.59	$1,818.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,030.00	Professional		$1,500.00	$1,500.00	$3,030.00