Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.71 / $1,469.98 / $1,498.25	Facility		$1,441.71	$1,469.98	$1,498.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.93 / $1,498.25 / $2,431.13	Professional		$1,404.93	$1,498.25	$2,431.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.42 / $1,536.42 / $1,536.42	Professional		$1,536.42	$1,536.42	$1,536.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,228.39 / $3,228.39 / $3,228.39	Facility		$3,228.39	$3,228.39	$3,228.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,017.28	Professional		$1,472.61	$1,472.61	$2,017.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,135.65 / $17,217.72 / $20,446.47	Facility		$8,135.65	$17,217.72	$20,446.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,718.94 / $26,336.21 / $26,336.21	Professional		$25,718.94	$26,336.21	$26,336.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $2,249.88 / $3,228.39	Facility		$1,039.78	$2,249.88	$3,228.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $2,970.12 / $3,228.39	Professional		$1,039.78	$2,970.12	$3,228.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.66 / $3,292.96 / $7,409.16	Professional		$2,963.66	$3,292.96	$7,409.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $2,157.12 / $3,228.39	Facility		$1,039.78	$2,157.12	$3,228.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,077.80	Professional		$1,472.61	$1,472.61	$2,077.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.17 / $1,940.92 / $2,310.62	Professional		$1,342.17	$1,940.92	$2,310.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,934.14 / $1,966.25 / $3,228.39	Professional		$1,934.14	$1,966.25	$3,228.39