Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,089.16	Facility		$2,068.46	$2,068.46	$2,089.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,242.78	Professional		$2,068.46	$2,068.46	$2,242.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $201.86 / $201.86	Professional		$201.86	$201.86	$201.86
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 $1,951.39 / $2,068.46 / $2,068.46	Facility		$1,951.39	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $4,986.00 / $6,648.00	Facility		$2,825.40	$4,986.00	$6,648.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,634.00 / $12,631.20 / $14,958.00	Professional		$11,634.00	$12,631.20	$14,958.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,220.57 / $4,385.16	Facility		$2,068.46	$2,220.57	$4,385.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,585.59	Professional		$2,068.46	$2,068.46	$2,585.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $2,875.18	Professional		$148.10	$302.94	$2,875.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $4,376.80	Facility		$2,068.46	$2,068.46	$4,376.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,927.08	Professional		$2,068.46	$2,068.46	$2,927.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,095.36	Professional		$2,068.46	$2,068.46	$2,095.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $2,068.46 / $2,792.43	Professional		$176.06	$2,068.46	$2,792.43