Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.00 / $9,636.00 / $27,005.00	Facility		$3,630.00	$9,636.00	$27,005.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,080.00 / $3,850.00 / $6,534.00	Professional		$3,080.00	$3,850.00	$6,534.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,500.00 / $5,500.00 / $5,500.00	Professional		$5,500.00	$5,500.00	$5,500.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $5,500.00 / $5,500.00	Facility		$80.00	$5,500.00	$5,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $12,955.19 / $24,593.84	Facility		$3,575.00	$12,955.19	$24,593.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,525.05 / $3,177.85 / $8,658.98	Professional		$2,525.05	$3,177.85	$8,658.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,474.29 / $25,863.75 / $25,863.75	Facility		$9,474.29	$25,863.75	$25,863.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,116.10 / $27,116.10 / $40,837.50	Professional		$27,116.10	$27,116.10	$40,837.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,355.00 / $5,445.00 / $8,167.50	Facility		$3,355.00	$5,445.00	$8,167.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,172.75 / $5,553.90 / $8,167.50	Professional		$5,172.75	$5,553.90	$8,167.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,539.25 / $5,989.50 / $12,171.60	Professional		$3,539.25	$5,989.50	$12,171.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,683.06 / $5,662.80 / $19,808.12	Facility		$3,683.06	$5,662.80	$19,808.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,602.46 / $4,950.00 / $8,622.96	Professional		$2,602.46	$4,950.00	$8,622.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $3,520.00	Professional		$2,310.00	$2,310.00	$3,520.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $5,445.00	Professional		$2,200.00	$2,200.00	$5,445.00