Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Facility		$1,969.89	$1,969.89	$1,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,028.98	Professional		$1,969.89	$1,969.89	$2,028.98
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 $1,858.38 / $1,969.89 / $1,969.89	Facility		$1,858.38	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,566.14 / $4,051.80 / $5,402.40	Facility		$2,566.14	$4,051.80	$5,402.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,454.20 / $10,264.56 / $12,155.40	Professional		$9,454.20	$10,264.56	$12,155.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $4,176.17	Facility		$1,789.55	$1,969.89	$4,176.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,462.36	Professional		$1,969.89	$1,969.89	$2,462.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $3,270.01	Professional		$148.10	$302.94	$3,270.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $4,168.21	Facility		$1,969.89	$1,969.89	$4,168.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,044.22	Professional		$1,969.89	$1,969.89	$2,044.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,995.50	Professional		$1,969.89	$1,969.89	$1,995.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $1,969.89 / $2,659.35	Professional		$550.79	$1,969.89	$2,659.35