Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.54 / $5,029.99 / $13,986.40	Facility		$2,124.54	$5,029.99	$13,986.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.76 / $2,009.70 / $3,445.20	Professional		$1,607.76	$2,009.70	$3,445.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,521.63 / $2,555.19	Professional		$5.00	$1,521.63	$2,555.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $2,871.00	Facility		$2,871.00	$2,871.00	$2,871.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.90 / $6,307.59 / $12,791.41	Facility		$1,464.90	$6,307.59	$12,791.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.95 / $2,727.38 / $4,890.10	Professional		$1,454.95	$2,727.38	$4,890.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,593.60 / $13,637.25 / $13,637.25	Facility		$4,593.60	$13,637.25	$13,637.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,355.00 / $14,355.00 / $21,532.50	Professional		$14,355.00	$14,355.00	$21,532.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.31 / $2,871.00 / $4,306.50	Facility		$1,751.31	$2,871.00	$4,306.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $3,588.75	Professional		$2,871.00	$2,871.00	$3,588.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.15 / $3,445.20 / $6,459.75	Professional		$1,866.15	$3,445.20	$6,459.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,688.15 / $3,120.20 / $9,617.85	Facility		$1,688.15	$3,120.20	$9,617.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,464.17 / $3,301.65 / $4,890.10	Professional		$1,464.17	$3,301.65	$4,890.10
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,205.82 / $1,837.44	Professional		$893.25	$1,205.82	$1,837.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $2,871.00	Professional		$1,148.40	$1,148.40	$2,871.00