Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,572.32 / $10,186.40	Facility		$1,286.16	$2,572.32	$10,186.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.42 / $1,414.78 / $2,465.14	Professional		$1,200.42	$1,414.78	$2,465.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,357.96 / $6,452.24 / $11,618.31	Facility		$2,357.96	$6,452.24	$11,618.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,136.10 / $1,457.65	Professional		$5.00	$1,136.10	$1,457.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $2,143.60	Facility		$2,143.60	$2,143.60	$2,143.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $3,539.08 / $9,128.50	Facility		$428.51	$3,539.08	$9,128.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.40 / $1,620.56 / $3,253.99	Professional		$1,086.40	$1,620.56	$3,253.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,429.76 / $10,182.10 / $10,182.10	Facility		$3,429.76	$10,182.10	$10,182.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,718.00 / $10,718.00 / $16,077.00	Professional		$10,718.00	$10,718.00	$16,077.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,143.60 / $2,572.32	Facility		$1,286.16	$2,143.60	$2,572.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.24 / $2,143.60 / $2,143.60	Professional		$1,929.24	$2,143.60	$2,143.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.34 / $2,572.32 / $4,823.10	Professional		$1,393.34	$2,572.32	$4,823.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,143.60 / $3,929.22	Facility		$1,286.16	$2,143.60	$3,929.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.14 / $1,742.10 / $3,253.99	Professional		$614.14	$1,742.10	$3,253.99
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $900.31 / $1,286.16	Professional		$252.88	$900.31	$1,286.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $857.44 / $2,143.60	Professional		$836.00	$857.44	$2,143.60