Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,569.33 / $3,982.46 / $6,166.39	Facility		$2,569.33	$3,982.46	$6,166.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,078.11	Professional		$2,608.16	$2,608.16	$3,078.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.50 / $5,658.53 / $10,839.82	Facility		$2,272.50	$5,658.53	$10,839.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,055.31 / $3,055.31 / $3,055.31	Professional		$3,055.31	$3,055.31	$3,055.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $2,537.10	Facility		$80.00	$80.00	$2,537.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $2,608.16	Facility		$2,460.53	$2,608.16	$2,608.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,469.35 / $13,040.80 / $13,367.15	Facility		$3,469.35	$13,040.80	$13,367.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,064.38 / $12,064.38 / $12,064.38	Professional		$12,064.38	$12,064.38	$12,064.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,484.02 / $2,543.89 / $3,736.88	Facility		$1,484.02	$2,543.89	$3,736.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,660.32 / $4,303.46	Professional		$2,608.16	$2,660.32	$4,303.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.10 / $2,816.81 / $4,352.50	Professional		$2,271.10	$2,816.81	$4,352.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.54 / $2,608.16 / $3,851.20	Facility		$1,548.54	$2,608.16	$3,851.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,289.97	Professional		$2,608.16	$2,608.16	$3,289.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.43 / $2,673.43 / $4,411.16	Facility		$2,673.43	$2,673.43	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $2,903.43	Professional		$2,608.16	$2,764.65	$2,903.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,732.53 / $3,651.42	Professional		$2,543.89	$2,732.53	$3,651.42