Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,918.31 / $17,782.79	Facility		$2,630.27	$6,918.31	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,570.88	Professional		$2,089.30	$3,019.95	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,471.29 / $19,498.45	Facility		$3,548.13	$10,471.29	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,041.74 / $2,041.74	Professional		$5.01	$2,041.74	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $8,128.31 / $16,218.10	Facility		$2,089.30	$8,128.31	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $7,244.36	Professional		$1,905.46	$3,801.89	$7,244.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $28,183.83 / $28,183.83	Professional		$18,620.87	$28,183.83	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $8,317.64	Facility		$2,511.89	$3,801.89	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,818.38 / $4,677.35	Professional		$6.03	$2,818.38	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $7,943.28	Professional		$3,715.35	$4,073.80	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $11,220.18	Facility		$2,290.87	$3,981.07	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $6,606.93	Professional		$1,905.46	$3,715.35	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,715.35	Facility		$1,348.96	$1,584.89	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,570.40	Professional		$1,230.27	$1,584.89	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,715.35 / $3,715.35	Professional		$1,479.11	$3,715.35	$3,715.35