Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.79 / $4,510.79 / $12,542.60	Facility		$1,544.79	$4,510.79	$12,542.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.80 / $1,699.27 / $2,059.71	Professional		$1,441.80	$1,699.27	$2,059.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,188.44 / $2,574.65 / $2,574.65	Professional		$2,188.44	$2,574.65	$2,574.65
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 $1,694.44 / $5,857.32 / $11,471.79	Facility		$1,694.44	$5,857.32	$11,471.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.82 / $3,135.82 / $3,757.07	Professional		$3,135.82	$3,135.82	$3,757.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,119.43 / $12,229.59 / $12,229.59	Facility		$4,119.43	$12,229.59	$12,229.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,821.76 / $12,821.76 / $19,309.88	Professional		$12,821.76	$12,821.76	$19,309.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,544.79 / $2,574.65 / $3,799.80	Facility		$1,544.79	$2,574.65	$3,799.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $3,218.31	Professional		$2,574.65	$2,574.65	$3,218.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,317.17 / $3,218.31 / $5,792.96	Professional		$2,317.17	$3,218.31	$5,792.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.52 / $2,577.23 / $7,778.41	Facility		$1,673.52	$2,577.23	$7,778.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $3,089.58 / $4,505.64	Professional		$2,317.19	$3,089.58	$4,505.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,081.34 / $1,647.78	Professional		$1,081.34	$1,081.34	$1,647.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $3,475.78 / $4,800.00	Professional		$2,574.65	$3,475.78	$4,800.00