Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,588.29 / $2,858.20 / $4,847.30	Facility		$2,588.29	$2,858.20	$4,847.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,057.67 / $4,658.92	Professional		$961.45	$3,057.67	$4,658.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.66 / $418.42 / $418.42	Professional		$355.66	$418.42	$418.42
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 $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,941.79 / $3,854.79 / $6,250.20	Professional		$2,941.79	$3,854.79	$6,250.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,368.21	Facility		$55.00	$55.00	$21,368.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,045.36 / $36,897.44 / $39,483.44	Professional		$25,045.36	$36,897.44	$39,483.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,588.29 / $4,380.72 / $7,510.58	Facility		$2,588.29	$4,380.72	$7,510.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,340.54 / $5,478.00 / $9,074.00	Professional		$5,340.54	$5,478.00	$9,074.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Professional		$1,100.00	$1,100.00	$1,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,588.29 / $4,501.07 / $7,510.58	Facility		$2,588.29	$4,501.07	$7,510.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,111.95 / $4,087.14 / $6,393.56	Professional		$3,111.95	$4,087.14	$6,393.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,673.10 / $2,845.07 / $4,623.79	Professional		$1,673.10	$2,845.07	$4,623.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,738.52 / $1,738.52 / $2,347.00	Professional		$1,738.52	$1,738.52	$2,347.00