Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,812.22 / $3,426.80	Facility		$2,784.38	$2,812.22	$3,426.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,867.91	Professional		$2,784.38	$2,784.38	$2,867.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $212.65 / $212.65	Professional		$212.65	$212.65	$212.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $3,703.75 / $4,465.51	Facility		$240.00	$3,703.75	$4,465.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $6,987.21 / $9,193.70	Professional		$430.31	$6,987.21	$9,193.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $3,937.11	Facility		$530.00	$530.00	$3,937.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,480.48	Professional		$2,784.38	$2,784.38	$3,480.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $215.90 / $3,007.13	Professional		$159.05	$215.90	$3,007.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.42 / $2,784.38 / $3,341.25	Facility		$239.42	$2,784.38	$3,341.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
United Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $152.87 / $152.87	Facility		$152.87	$152.87	$152.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,842.85	Professional		$2,784.38	$2,784.38	$2,842.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $2,784.38 / $3,758.91	Professional		$93.93	$2,784.38	$3,758.91