Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.17 / $6,785.50 / $19,016.40	Facility		$2,556.17	$6,785.50	$19,016.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,711.10 / $4,647.60	Professional		$2,168.88	$2,711.10	$4,647.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.30 / $10,960.59 / $20,836.74	Facility		$4,260.30	$10,960.59	$20,836.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,130.15 / $2,711.10	Professional		$5.00	$2,130.15	$2,711.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,590.15 / $1,590.15 / $3,873.00	Facility		$1,590.15	$1,590.15	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,579.92 / $8,449.15 / $17,256.00	Facility		$2,579.92	$8,449.15	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.42 / $2,168.96 / $6,051.40	Professional		$1,723.42	$2,168.96	$6,051.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,196.80 / $18,396.75 / $18,396.75	Facility		$6,196.80	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.53 / $3,873.00 / $5,809.50	Facility		$2,362.53	$3,873.00	$5,809.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,841.25	Professional		$3,873.00	$3,873.00	$4,841.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $4,647.60 / $8,714.25	Professional		$2,517.44	$4,647.60	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.74 / $4,153.79 / $12,974.55	Facility		$2,630.74	$4,153.79	$12,974.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,725.35 / $3,659.84 / $5,882.26	Professional		$1,725.35	$3,659.84	$5,882.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $2,478.71	Professional		$1,626.66	$1,626.66	$2,478.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $3,873.00	Professional		$1,549.20	$1,549.20	$3,873.00