Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,180.80 / $1,180.80	Facility		$1,152.00	$1,180.80	$1,180.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,180.80 / $1,224.00	Professional		$1,152.00	$1,180.80	$1,224.00
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 / $80.00 / $386.49	Facility		$80.00	$80.00	$386.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,880.00 / $5,400.00	Facility		$1,368.00	$2,880.00	$5,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,472.00 / $5,472.00 / $6,480.00	Professional		$5,472.00	$5,472.00	$6,480.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $386.49 / $2,503.30	Facility		$386.49	$386.49	$2,503.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $537.22 / $869.61	Professional		$425.14	$537.22	$869.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,152.00 / $2,503.30	Facility		$386.49	$1,152.00	$2,503.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $386.49 / $521.76	Professional		$386.49	$386.49	$521.76