Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.95 / $3,917.46 / $10,793.90	Facility		$1,661.95	$3,917.46	$10,793.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.09 / $1,538.85 / $1,868.60	Professional		$1,198.09	$1,538.85	$1,868.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,198.35	Professional		$2,198.35	$2,198.35	$2,198.35
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 $1,428.93 / $5,001.26 / $9,794.36	Facility		$1,428.93	$5,001.26	$9,794.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.46 / $2,677.46 / $3,207.90	Professional		$2,677.46	$2,677.46	$3,207.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,517.36 / $10,442.16 / $10,442.16	Facility		$3,517.36	$10,442.16	$10,442.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,947.78 / $10,947.78 / $16,487.63	Professional		$10,947.78	$10,947.78	$16,487.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,319.01 / $2,198.35 / $3,244.13	Facility		$1,319.01	$2,198.35	$3,244.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,747.94	Professional		$2,198.35	$2,198.35	$2,747.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $2,747.94 / $4,946.29	Professional		$1,978.52	$2,747.94	$4,946.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $2,200.56 / $6,640.97	Facility		$1,428.93	$2,200.56	$6,640.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $2,638.02 / $3,847.11	Professional		$1,978.52	$2,638.02	$3,847.11
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $923.31 / $1,406.94	Professional		$923.31	$923.31	$1,406.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $2,198.35	Professional		$514.79	$514.79	$2,198.35