Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.80 / $3,556.56 / $9,967.29	Facility		$1,339.80	$3,556.56	$9,967.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,502.20 / $2,436.00	Professional		$1,218.00	$1,502.20	$2,436.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $4,851.70 / $10,637.20	Facility		$63.90	$4,851.70	$10,637.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $2,030.00	Professional		$1,218.00	$2,030.00	$2,030.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,030.00 / $2,030.00	Facility		$80.00	$2,030.00	$2,030.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,352.26 / $4,459.91 / $9,043.95	Facility		$1,352.26	$4,459.91	$9,043.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $1,928.35 / $3,195.97	Professional		$1,028.82	$1,928.35	$3,195.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $9,642.50 / $9,642.50	Facility		$3,248.00	$9,642.50	$9,642.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,150.00 / $10,150.00 / $15,225.00	Professional		$10,150.00	$10,150.00	$15,225.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,278.90 / $2,030.00 / $3,045.00	Facility		$1,278.90	$2,030.00	$3,045.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,537.50	Professional		$2,030.00	$2,030.00	$2,537.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $2,436.00 / $4,567.50	Professional		$1,319.50	$2,436.00	$4,567.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,320.80 / $2,177.17 / $7,311.04	Facility		$1,320.80	$2,177.17	$7,311.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.32 / $2,334.50 / $3,195.97	Professional		$1,035.32	$2,334.50	$3,195.97
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $1,299.20	Professional		$852.60	$852.60	$1,299.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $791.70 / $2,030.00	Professional		$200.00	$791.70	$2,030.00