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 / $2,943.48 / $4,066.65	Professional		$2,168.88	$2,943.48	$4,066.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.30 / $10,883.13 / $20,488.16	Facility		$4,260.30	$10,883.13	$20,488.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,052.69 / $3,873.00	Professional		$5.00	$2,052.69	$3,873.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $3,873.00 / $3,873.00	Facility		$80.00	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $9,089.76 / $17,256.00	Facility		$2,517.44	$9,089.76	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,962.72 / $3,698.84 / $6,597.17	Professional		$1,962.72	$3,698.84	$6,597.17
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 $19,287.54 / $19,287.54 / $29,047.50	Professional		$19,287.54	$19,287.54	$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 $2,593.54 / $3,987.64 / $13,949.06	Facility		$2,593.54	$3,987.64	$13,949.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,458.17 / $4,686.33 / $6,597.17	Professional		$2,458.17	$4,686.33	$6,597.17
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 $573.20 / $1,510.47 / $3,873.00	Professional		$573.20	$1,510.47	$3,873.00