Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.84 / $5,817.00 / $16,320.80	Facility		$2,193.84	$5,817.00	$16,320.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,861.44 / $2,459.76 / $3,988.80	Professional		$1,861.44	$2,459.76	$3,988.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,761.72 / $2,227.08	Professional		$5.00	$1,761.72	$2,227.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $3,324.00	Facility		$3,324.00	$3,324.00	$3,324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $6,244.13 / $14,365.34	Facility		$2,160.60	$6,244.13	$14,365.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.19 / $2,684.13 / $5,130.47	Professional		$1,685.19	$2,684.13	$5,130.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,318.40 / $15,789.00 / $15,789.00	Facility		$5,318.40	$15,789.00	$15,789.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,620.00 / $16,620.00 / $24,930.00	Professional		$16,620.00	$16,620.00	$24,930.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $3,324.00 / $3,988.80	Facility		$1,994.40	$3,324.00	$3,988.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $3,324.00	Professional		$3,324.00	$3,324.00	$3,324.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.60 / $3,988.80 / $7,479.00	Professional		$2,160.60	$3,988.80	$7,479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $3,324.00 / $6,092.89	Facility		$1,994.40	$3,324.00	$6,092.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,695.16 / $3,174.34 / $5,045.66	Professional		$1,695.16	$3,174.34	$5,045.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,196.64 / $1,396.08 / $3,324.00	Facility		$1,196.64	$1,396.08	$3,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,396.08 / $2,047.58	Professional		$1,396.08	$1,396.08	$2,047.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,296.35 / $1,329.60 / $3,324.00	Professional		$1,296.35	$1,329.60	$3,324.00