Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,466.78	Facility		$1,452.25	$1,452.25	$1,466.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,597.48	Professional		$1,452.25	$1,452.25	$1,597.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Professional		$73.98	$73.98	$73.98
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 $1,370.05 / $1,452.25 / $1,452.25	Facility		$1,370.05	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $6,878.66 / $6,878.66	Facility		$2,550.00	$6,878.66	$6,878.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,878.66 / $6,878.66 / $6,878.66	Professional		$6,878.66	$6,878.66	$6,878.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,466.78 / $1,725.04 / $3,078.77	Facility		$1,466.78	$1,725.04	$3,078.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,815.31	Professional		$1,452.25	$1,452.25	$1,815.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $1,533.19 / $3,505.48	Professional		$148.10	$1,533.19	$3,505.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $3,072.90	Facility		$1,452.25	$1,452.25	$3,072.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,507.05	Professional		$1,452.25	$1,452.25	$1,507.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,557.99 / $1,960.54	Professional		$1,452.25	$1,557.99	$1,960.54