Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,895.65 / $5,535.30 / $15,391.40	Facility		$1,895.65	$5,535.30	$15,391.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,769.28 / $1,990.43 / $2,527.54	Professional		$1,769.28	$1,990.43	$2,527.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,159.42	Professional		$3,159.42	$3,159.42	$3,159.42
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 $2,036.04 / $7,415.01 / $16,747.48	Facility		$2,036.04	$7,415.01	$16,747.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,848.09 / $3,848.09 / $4,610.43	Professional		$3,848.09	$3,848.09	$4,610.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,055.07 / $15,007.25 / $15,007.25	Facility		$5,055.07	$15,007.25	$15,007.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,733.91 / $15,733.91 / $23,695.65	Professional		$15,733.91	$15,733.91	$23,695.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,895.65 / $3,159.42 / $4,707.54	Facility		$1,895.65	$3,159.42	$4,707.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,949.28	Professional		$3,159.42	$3,159.42	$3,949.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $3,949.28 / $7,108.69	Professional		$2,843.48	$3,949.28	$7,108.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.65 / $3,159.42 / $9,544.19	Facility		$1,895.65	$3,159.42	$9,544.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,985.52 / $3,475.36 / $5,528.99	Professional		$2,985.52	$3,475.36	$5,528.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,326.96 / $3,159.42 / $3,791.30	Facility		$1,326.96	$3,159.42	$3,791.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,326.96 / $2,022.03	Professional		$1,326.96	$1,326.96	$2,022.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $3,159.42	Professional		$500.00	$500.00	$3,159.42