Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,134.76 / $9,153.50 / $25,452.20	Facility		$3,134.76	$9,153.50	$25,452.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,925.78 / $3,448.24 / $4,179.68	Professional		$2,925.78	$3,448.24	$4,179.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.23 / $1,717.59 / $2,179.03	Facility		$1,461.23	$1,717.59	$2,179.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,440.91 / $5,224.60 / $5,224.60	Professional		$4,440.91	$5,224.60	$5,224.60
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 $3,438.44 / $11,885.97 / $23,278.77	Facility		$3,438.44	$11,885.97	$23,278.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,364.01 / $6,364.01 / $7,624.80	Professional		$6,364.01	$6,364.01	$7,624.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,359.36 / $24,816.85 / $24,816.85	Facility		$8,359.36	$24,816.85	$24,816.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,018.51 / $26,018.51 / $39,184.50	Professional		$26,018.51	$26,018.51	$39,184.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,134.76 / $5,224.60 / $7,710.44	Facility		$3,134.76	$5,224.60	$7,710.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $6,530.75	Professional		$5,224.60	$5,224.60	$6,530.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $6,530.75 / $11,755.35	Professional		$4,702.14	$6,530.75	$11,755.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,395.99 / $5,229.82 / $15,783.54	Facility		$3,395.99	$5,229.82	$15,783.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $6,269.52 / $9,143.04	Professional		$4,702.14	$6,269.52	$9,143.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,880.86 / $2,194.33 / $5,224.60	Facility		$1,880.86	$2,194.33	$5,224.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,194.33 / $3,343.74	Professional		$2,194.33	$2,194.33	$3,343.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $1,912.00 / $5,224.60	Professional		$1,912.00	$1,912.00	$5,224.60