Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $5,754.40	Facility		$2,511.89	$4,786.30	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,162.28	Professional		$2,511.89	$2,570.40	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $10,964.78	Facility		$2,290.87	$5,623.41	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,511.89 / $2,511.89	Facility		$79.43	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,511.89	Facility		$2,398.83	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,073.80	Facility		$1,862.09	$2,511.89	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Professional		$2,511.89	$2,511.89	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,162.28	Professional		$2,570.40	$2,754.23	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $2,511.89 / $4,365.16	Professional		$30.20	$2,511.89	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,265.80	Facility		$1,819.70	$2,570.40	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,235.94	Professional		$2,630.27	$2,630.27	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Facility		$2,511.89	$2,511.89	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,818.38	Professional		$2,511.89	$2,691.53	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,162.28	Professional		$2,511.89	$2,511.89	$3,162.28