Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,139.26 / $9,756.79 / $26,883.20	Facility		$4,139.26	$9,756.79	$26,883.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,983.98 / $3,832.64 / $4,653.92	Professional		$2,983.98	$3,832.64	$4,653.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $5,475.20	Professional		$5,475.20	$5,475.20	$5,475.20
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 $3,603.37 / $12,456.08 / $24,394.57	Facility		$3,603.37	$12,456.08	$24,394.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,668.70 / $6,668.70 / $7,989.86	Professional		$6,668.70	$6,668.70	$7,989.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,760.32 / $26,007.20 / $26,007.20	Facility		$8,760.32	$26,007.20	$26,007.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,266.50 / $27,266.50 / $41,064.00	Professional		$27,266.50	$27,266.50	$41,064.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,285.12 / $5,475.20 / $8,080.21	Facility		$3,285.12	$5,475.20	$8,080.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $6,844.00	Professional		$5,475.20	$5,475.20	$6,844.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $6,844.00 / $12,319.20	Professional		$4,927.68	$6,844.00	$12,319.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,558.88 / $5,480.68 / $16,540.86	Facility		$3,558.88	$5,480.68	$16,540.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $6,570.24 / $9,581.60	Professional		$4,927.68	$6,570.24	$9,581.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $2,299.58 / $3,504.13	Professional		$2,299.58	$2,299.58	$3,504.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $5,475.20	Professional		$66.20	$66.20	$5,475.20