Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,606.45	Facility		$1,590.54	$1,590.54	$1,606.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,670.35	Professional		$1,590.54	$1,590.54	$1,670.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
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 $1,500.51 / $1,590.54 / $1,590.54	Facility		$1,500.51	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $5,246.22 / $11,250.00	Facility		$2,550.00	$5,246.22	$11,250.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,500.00 / $10,500.00 / $11,400.00	Professional		$10,500.00	$10,500.00	$11,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,653.82 / $3,371.94	Facility		$1,590.54	$1,653.82	$3,371.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,988.18	Professional		$1,590.54	$1,590.54	$1,988.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $4,175.77	Professional		$148.10	$302.94	$4,175.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,365.52	Facility		$1,590.54	$1,590.54	$3,365.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,227.08	Professional		$1,590.54	$1,590.54	$2,227.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,643.03	Professional		$1,590.54	$1,590.54	$1,643.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,653.82 / $2,147.23	Professional		$1,590.54	$1,653.82	$2,147.23