Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $2,938.28 / $11,635.60	Facility		$1,469.14	$2,938.28	$11,635.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.11 / $1,518.11 / $2,375.10	Professional		$579.11	$1,518.11	$2,375.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,297.74 / $3,427.98	Professional		$5.00	$1,297.74	$3,427.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Facility		$2,448.56	$2,448.56	$2,448.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.92 / $3,667.55 / $10,427.18	Facility		$428.92	$3,667.55	$10,427.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,837.50 / $3,716.82	Professional		$1,000.00	$1,837.50	$3,716.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,917.70 / $11,630.66 / $11,630.66	Facility		$3,917.70	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,242.80 / $12,242.80 / $18,364.20	Professional		$12,242.80	$12,242.80	$18,364.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,713.99 / $2,448.56 / $2,938.27	Facility		$1,713.99	$2,448.56	$2,938.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,448.56 / $2,448.56	Professional		$2,203.69	$2,448.56	$2,448.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,938.27 / $5,509.26	Professional		$1,591.56	$2,938.27	$5,509.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.19 / $2,448.56 / $4,284.97	Facility		$1,371.19	$2,448.56	$4,284.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $2,198.26 / $3,716.82	Professional		$632.21	$2,198.26	$3,716.82
United Facility/Professional Facility Modifier Low / Median / High Price $252.88 / $722.52 / $2,938.27	Facility		$252.88	$722.52	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,028.40 / $1,469.14	Professional		$252.88	$1,028.40	$1,469.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.94 / $979.42 / $2,448.56	Professional		$954.94	$979.42	$2,448.56