Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $4,223.38 / $5,526.59	Facility		$2,429.89	$4,223.38	$5,526.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,454.19 / $2,953.25	Professional		$2,429.89	$2,454.19	$2,953.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,951.41 / $4,878.53 / $9,308.23	Facility		$1,951.41	$4,878.53	$9,308.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,533.62 / $2,533.62 / $2,533.62	Professional		$2,533.62	$2,533.62	$2,533.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $2,447.10	Facility		$80.00	$80.00	$2,447.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,429.89 / $2,429.89	Facility		$2,292.35	$2,429.89	$2,429.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Professional		$2,429.89	$2,429.89	$2,429.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,232.21 / $12,149.45 / $12,207.45	Facility		$3,232.21	$12,149.45	$12,207.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,655.19 / $10,655.19 / $10,655.19	Professional		$10,655.19	$10,655.19	$10,655.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $4,066.90	Facility		$2,429.89	$2,440.69	$4,066.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,478.48 / $4,009.32	Professional		$2,429.89	$2,478.48	$4,009.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,405.50 / $2,691.81 / $4,790.60	Professional		$2,405.50	$2,691.81	$4,790.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $4,162.82	Facility		$2,429.89	$2,429.89	$4,162.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,974.42	Professional		$2,429.89	$2,429.89	$2,974.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $2,704.98	Professional		$2,429.89	$2,575.67	$2,704.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,413.36 / $2,429.89 / $3,401.85	Professional		$2,413.36	$2,429.89	$3,401.85