Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,407.05	Facility		$1,393.12	$1,393.12	$1,407.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,671.74	Professional		$1,393.12	$1,393.12	$1,671.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $11.17 / $23.70	Facility		$6.52	$11.17	$23.70
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 $1,314.26 / $1,393.12 / $1,393.12	Facility		$1,314.26	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $4,551.72 / $8,775.00	Facility		$2,340.00	$4,551.72	$8,775.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,190.00 / $8,775.00 / $8,892.00	Professional		$8,190.00	$8,775.00	$8,892.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.05 / $1,713.18 / $2,953.41	Facility		$1,407.05	$1,713.18	$2,953.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,741.40	Professional		$1,393.12	$1,393.12	$1,741.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $4,650.75	Professional		$148.10	$302.94	$4,650.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,947.79	Facility		$1,393.12	$1,393.12	$2,947.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,971.40	Professional		$1,393.12	$1,393.12	$1,971.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,411.23	Professional		$1,393.12	$1,393.12	$1,411.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,713.18	Professional		$1,393.12	$1,393.12	$1,713.18