Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.84 / $5,814.46 / $15,179.90	Facility		$2,305.84	$5,814.46	$15,179.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.96 / $2,181.19 / $3,739.20	Professional		$1,744.96	$2,181.19	$3,739.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,651.48 / $2,773.24	Professional		$5.00	$1,651.48	$2,773.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $3,116.00 / $3,116.00	Facility		$80.00	$3,116.00	$3,116.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.54 / $7,150.94 / $13,883.01	Facility		$2,116.54	$7,150.94	$13,883.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.07 / $2,960.13 / $5,307.45	Professional		$1,579.07	$2,960.13	$5,307.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,985.60 / $14,801.00 / $14,801.00	Facility		$4,985.60	$14,801.00	$14,801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,580.00 / $15,580.00 / $23,370.00	Professional		$15,580.00	$15,580.00	$23,370.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.76 / $3,116.00 / $4,674.00	Facility		$1,900.76	$3,116.00	$4,674.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $3,895.00	Professional		$3,116.00	$3,116.00	$3,895.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.40 / $3,739.20 / $7,011.00	Professional		$2,025.40	$3,739.20	$7,011.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,116.54 / $3,427.60 / $12,072.70	Facility		$2,116.54	$3,427.60	$12,072.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,589.15 / $3,583.40 / $5,307.45	Professional		$1,589.15	$3,583.40	$5,307.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,312.81 / $1,994.24	Professional		$1,308.72	$1,312.81	$1,994.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $3,116.00	Professional		$1,246.40	$1,246.40	$3,116.00