Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,944.00 / $3,017.60 / $3,017.60	Facility		$2,944.00	$3,017.60	$3,017.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,539.19 / $3,017.60 / $3,128.00	Professional		$2,539.19	$3,017.60	$3,128.00
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 $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.70 / $3,680.00 / $5,347.50	Facility		$1,354.70	$3,680.00	$5,347.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,991.00 / $7,728.00 / $14,536.00	Professional		$4,991.00	$7,728.00	$14,536.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $6,397.31	Facility		$530.00	$530.00	$6,397.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $583.00 / $1,192.50	Professional		$148.10	$583.00	$1,192.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,944.00 / $6,397.31	Facility		$530.00	$2,944.00	$6,397.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $715.50	Professional		$530.00	$530.00	$715.50