Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,729.06	Facility		$3,692.14	$3,692.14	$3,729.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,839.83	Professional		$3,692.14	$3,692.14	$3,839.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
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 $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,896.15 / $4,911.24 / $12,825.00	Facility		$3,896.15	$4,911.24	$12,825.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,970.00 / $12,996.00 / $14,244.40	Professional		$11,970.00	$12,996.00	$14,244.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,703.11 / $3,774.77 / $7,827.34	Facility		$3,703.11	$3,774.77	$7,827.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,615.18	Professional		$3,692.14	$3,692.14	$4,615.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $6,725.70	Professional		$148.10	$302.94	$6,725.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $7,812.42	Facility		$3,692.14	$3,692.14	$7,812.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,989.20 / $3,692.14 / $4,984.39	Professional		$2,989.20	$3,692.14	$4,984.39