Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,509.35 / $8,629.71	Facility		$1,494.41	$1,509.35	$8,629.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,557.67	Professional		$1,494.41	$1,494.41	$1,557.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,638.98 / $4,148.26 / $8,276.85	Facility		$1,638.98	$4,148.26	$8,276.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $1,494.41	Facility		$80.00	$80.00	$1,494.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $1,494.41	Facility		$1,409.82	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,406.17 / $7,066.85 / $7,066.85	Facility		$2,406.17	$7,066.85	$7,066.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,066.85 / $7,066.85 / $7,066.85	Professional		$7,066.85	$7,066.85	$7,066.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.89 / $1,542.24 / $2,691.32	Facility		$1,010.89	$1,542.24	$2,691.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,868.01	Professional		$1,494.41	$1,494.41	$1,868.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $2,013.50 / $2,325.10	Professional		$1,917.60	$2,013.50	$2,325.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.89 / $1,494.41 / $2,584.21	Facility		$1,010.89	$1,494.41	$2,584.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,900.52	Professional		$1,494.41	$1,494.41	$1,900.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,823.11 / $2,465.67 / $2,465.67	Facility		$1,823.11	$2,465.67	$2,465.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,525.79	Professional		$1,494.41	$1,494.41	$1,525.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,542.24 / $2,017.45	Professional		$1,494.41	$1,542.24	$2,017.45