Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,775.00 / $6,620.18 / $18,268.50	Facility		$2,775.00	$6,620.18	$18,268.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,625.00 / $4,500.00	Professional		$2,100.00	$2,625.00	$4,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.00 / $10,162.50 / $19,650.00	Facility		$2,925.00	$10,162.50	$19,650.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,062.50 / $2,625.00	Professional		$5.00	$2,062.50	$2,625.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,011.46 / $8,495.19 / $16,707.93	Facility		$2,011.46	$8,495.19	$16,707.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.32 / $3,562.46 / $6,387.33	Professional		$1,900.32	$3,562.46	$6,387.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $17,812.50 / $17,812.50	Facility		$6,000.00	$17,812.50	$17,812.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $28,125.00	Professional		$18,750.00	$18,750.00	$28,125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,287.50 / $3,750.00 / $5,625.00	Facility		$2,287.50	$3,750.00	$5,625.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,562.50 / $3,825.00 / $5,625.00	Professional		$3,562.50	$3,825.00	$5,625.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.50 / $4,500.00 / $8,437.50	Professional		$2,437.50	$4,500.00	$8,437.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $4,099.07 / $12,658.81	Facility		$2,250.00	$4,099.07	$12,658.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,912.54 / $4,312.50 / $6,387.33	Professional		$1,912.54	$4,312.50	$6,387.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $1,575.00 / $2,400.00	Professional		$1,226.53	$1,575.00	$2,400.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,750.00	Professional		$1,500.00	$1,500.00	$3,750.00