Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.96 / $1,911.33 / $2,457.42	Professional		$1,698.96	$1,911.33	$2,457.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $3,033.86	Professional		$3,033.86	$3,033.86	$3,033.86
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 Professional Modifier Low / Median / High Price $3,695.30 / $3,695.30 / $4,427.39	Professional		$3,695.30	$3,695.30	$4,427.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,854.18 / $14,410.84 / $14,410.84	Facility		$4,854.18	$14,410.84	$14,410.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,108.62 / $15,108.62 / $22,753.95	Professional		$15,108.62	$15,108.62	$22,753.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.32 / $3,033.86 / $4,550.79	Facility		$1,820.32	$3,033.86	$4,550.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $3,792.33	Professional		$3,033.86	$3,033.86	$3,792.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,730.47 / $3,792.32 / $6,340.77	Professional		$2,730.47	$3,792.32	$6,340.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.32 / $3,033.86 / $5,166.80	Facility		$1,820.32	$3,033.86	$5,166.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,336.07 / $3,337.25 / $5,309.26	Professional		$2,336.07	$3,337.25	$5,309.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.22 / $1,274.22 / $1,868.86	Professional		$1,274.22	$1,274.22	$1,868.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $1,571.54 / $3,033.86	Professional		$239.16	$1,571.54	$3,033.86