Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $6,250.21 / $9,000.31	Facility		$4,128.02	$6,250.21	$9,000.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,166.81 / $4,953.62	Professional		$4,128.02	$4,166.81	$4,953.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $208.17 / $415.36	Facility		$82.25	$208.17	$415.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,117.33 / $4,117.33 / $4,117.33	Professional		$4,117.33	$4,117.33	$4,117.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $4,254.92	Facility		$80.00	$80.00	$4,254.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $4,128.02 / $4,128.02	Facility		$3,894.36	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,305.24 / $19,941.65 / $20,640.09	Facility		$5,305.24	$19,941.65	$20,640.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,614.63 / $17,614.63 / $17,614.63	Professional		$17,614.63	$17,614.63	$17,614.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $4,125.55 / $4,794.70	Facility		$58.12	$4,125.55	$4,794.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,921.62 / $4,210.58 / $6,811.23	Professional		$3,921.62	$4,210.58	$6,811.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $4,540.82 / $6,107.72	Professional		$120.20	$4,540.82	$6,107.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $4,128.02 / $5,127.00	Facility		$61.99	$4,128.02	$5,127.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,843.20	Professional		$4,128.02	$4,128.02	$4,843.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,375.70 / $4,595.35	Professional		$4,128.02	$4,375.70	$4,595.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,989.64 / $4,128.02 / $5,779.23	Professional		$3,989.64	$4,128.02	$5,779.23