Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,397.60 / $6,045.84 / $15,784.00	Facility		$2,397.60	$6,045.84	$15,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.40 / $2,397.60 / $3,726.00	Professional		$1,814.40	$2,397.60	$3,726.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,717.20 / $2,883.60	Professional		$5.00	$1,717.20	$2,883.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,860.21 / $1,860.21 / $3,240.00	Facility		$1,860.21	$1,860.21	$3,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,956.66 / $7,435.75 / $14,435.63	Facility		$1,956.66	$7,435.75	$14,435.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.96 / $3,077.96 / $5,518.47	Professional		$1,641.96	$3,077.96	$5,518.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,184.00 / $15,390.00 / $15,390.00	Facility		$5,184.00	$15,390.00	$15,390.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,200.00 / $16,200.00 / $24,300.00	Professional		$16,200.00	$16,200.00	$24,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.40 / $3,240.00 / $4,860.00	Facility		$1,976.40	$3,240.00	$4,860.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $4,050.00	Professional		$3,240.00	$3,240.00	$4,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $3,888.00 / $7,290.00	Professional		$2,106.00	$3,888.00	$7,290.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,054.50 / $3,564.00 / $11,857.72	Facility		$2,054.50	$3,564.00	$11,857.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,652.46 / $3,726.00 / $5,518.47	Professional		$1,652.46	$3,726.00	$5,518.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.11 / $1,360.80 / $2,227.50	Professional		$1,193.11	$1,360.80	$2,227.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $3,240.00	Professional		$1,296.00	$1,296.00	$3,240.00