Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Facility		$1,902.62	$1,902.62	$1,921.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,058.89	Professional		$1,902.62	$1,902.62	$2,058.89
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 $1,794.93 / $1,902.62 / $1,902.62	Facility		$1,794.93	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,530.84 / $3,325.37 / $8,437.50	Facility		$2,530.84	$3,325.37	$8,437.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,450.00 / $10,260.00 / $10,463.36	Professional		$9,450.00	$10,260.00	$10,463.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,038.50 / $4,033.55	Facility		$1,902.62	$2,038.50	$4,033.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,378.28	Professional		$1,902.62	$1,902.62	$2,378.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $302.94 / $5,545.57	Professional		$113.32	$302.94	$5,545.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $4,025.87	Facility		$1,902.62	$1,902.62	$4,025.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,692.39	Professional		$1,902.62	$1,902.62	$2,692.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,866.90 / $3,877.37 / $3,877.37	Facility		$2,866.90	$3,877.37	$3,877.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,927.35	Professional		$1,902.62	$1,902.62	$1,927.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,038.50 / $2,568.54	Professional		$1,902.62	$2,038.50	$2,568.54