Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $4,087.54 / $5,504.56	Facility		$2,698.05	$4,087.54	$5,504.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $3,264.64	Professional		$2,698.05	$2,725.03	$3,264.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.09 / $5,578.55 / $11,020.45	Facility		$2,204.09	$5,578.55	$11,020.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,580.94 / $2,580.94 / $2,580.94	Professional		$2,580.94	$2,580.94	$2,580.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $2,816.77	Facility		$80.00	$80.00	$2,816.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,698.05 / $2,698.05	Facility		$2,545.33	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,535.81 / $13,290.65 / $13,490.25	Facility		$3,535.81	$13,290.65	$13,490.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,735.90 / $11,735.90 / $11,735.90	Professional		$11,735.90	$11,735.90	$11,735.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $5,276.93	Facility		$2,698.05	$2,698.05	$5,276.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,752.01 / $4,451.78	Professional		$2,698.05	$2,752.01	$4,451.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,098.44 / $5,416.20	Professional		$2,698.05	$3,098.44	$5,416.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $4,816.03	Facility		$2,698.05	$2,698.05	$4,816.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,273.56	Professional		$2,698.05	$2,698.05	$3,273.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.93 / $3,003.50	Professional		$2,698.05	$2,859.93	$3,003.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $2,698.05 / $3,777.27	Professional		$2,658.13	$2,698.05	$3,777.27