Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Facility		$1,172.56	$1,172.56	$1,184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,219.46	Professional		$1,172.56	$1,172.56	$1,219.46
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 $1,106.19 / $1,172.56 / $1,172.56	Facility		$1,106.19	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.73 / $1,687.50 / $3,675.00	Facility		$1,559.73	$1,687.50	$3,675.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,725.00 / $4,725.00 / $4,725.00	Professional		$4,725.00	$4,725.00	$4,725.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,172.56 / $2,485.83	Facility		$221.14	$1,172.56	$2,485.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,465.70	Professional		$1,172.56	$1,172.56	$1,465.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $2,337.30	Professional		$148.10	$302.94	$2,337.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $2,481.09	Facility		$1,172.56	$1,172.56	$2,481.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,246.56	Professional		$1,172.56	$1,172.56	$1,246.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,196.01	Professional		$1,172.56	$1,172.56	$1,196.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,038.80 / $1,172.56 / $1,582.96	Professional		$1,038.80	$1,172.56	$1,582.96