Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,132.16 / $13,623.60 / $38,180.19	Facility		$5,132.16	$13,623.60	$38,180.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,354.56 / $5,754.24 / $8,942.40	Professional		$4,354.56	$5,754.24	$8,942.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,121.28 / $6,920.64	Professional		$5.00	$4,121.28	$6,920.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $7,776.00 / $7,776.00	Facility		$80.00	$7,776.00	$7,776.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,054.39 / $18,249.91 / $34,646.39	Facility		$5,054.39	$18,249.91	$34,646.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,940.70 / $7,426.01 / $13,245.04	Professional		$3,940.70	$7,426.01	$13,245.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,441.60 / $36,936.00 / $36,936.00	Facility		$12,441.60	$36,936.00	$36,936.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,724.48 / $38,724.48 / $58,320.00	Professional		$38,724.48	$38,724.48	$58,320.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,665.60 / $7,776.00 / $11,664.00	Facility		$4,665.60	$7,776.00	$11,664.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $9,720.00	Professional		$7,776.00	$7,776.00	$9,720.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,054.39 / $9,331.20 / $17,496.00	Professional		$5,054.39	$9,331.20	$17,496.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,898.88 / $7,783.78 / $28,005.31	Facility		$4,898.88	$7,783.78	$28,005.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,354.56 / $9,408.95 / $13,245.04	Professional		$4,354.56	$9,408.95	$13,245.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $3,265.92 / $4,976.64	Professional		$3,265.92	$3,265.92	$4,976.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $317.20 / $7,776.00	Professional		$309.83	$317.20	$7,776.00