Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Facility		$1,640.93	$1,640.93	$1,657.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,706.57	Professional		$1,640.93	$1,640.93	$1,706.57
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 $1,548.05 / $1,640.93 / $1,640.93	Facility		$1,548.05	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,773.90 / $2,182.75 / $5,493.04	Facility		$1,773.90	$2,182.75	$5,493.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,460.00 / $5,857.77 / $6,941.34	Professional		$5,460.00	$5,857.77	$6,941.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,478.77	Facility		$1,640.93	$1,640.93	$3,478.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,051.16	Professional		$1,640.93	$1,640.93	$2,051.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $1,772.20 / $3,678.91	Professional		$148.10	$1,772.20	$3,678.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,472.14	Facility		$1,640.93	$1,640.93	$3,472.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,863.24	Professional		$1,640.93	$1,640.93	$1,863.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,635.07 / $1,640.93 / $2,215.26	Professional		$1,635.07	$1,640.93	$2,215.26