Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,818.38	Professional		$1,698.24	$2,290.87	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,466.84	Professional		$3,715.35	$3,715.35	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $22,908.68 / $22,908.68	Professional		$15,135.61	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,890.45	Facility		$2,290.87	$3,019.95	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,090.30	Professional		$1,819.70	$2,454.71	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $6,456.54	Professional		$3,019.95	$3,311.31	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $4,677.35	Facility		$1,819.70	$3,019.95	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $5,370.32	Professional		$3,162.28	$3,235.94	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,137.96	Professional		$1,288.25	$1,288.25	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,019.95	Professional		$1,380.38	$1,380.38	$3,019.95