Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $3,009.35 / $12,849.14	Facility		$2,979.56	$3,009.35	$12,849.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,128.53	Professional		$2,979.56	$2,979.56	$3,128.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $244.55 / $699.62	Facility		$170.12	$244.55	$699.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $170.12 / $170.12	Professional		$170.12	$170.12	$170.12
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 $2,810.90 / $2,979.55 / $2,979.55	Facility		$2,810.90	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,808.51 / $4,051.61 / $9,187.50	Facility		$3,808.51	$4,051.61	$9,187.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,975.00 / $10,669.23 / $12,825.00	Professional		$9,975.00	$10,669.23	$12,825.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,979.56 / $6,316.67	Facility		$2,901.66	$2,979.56	$6,316.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,724.45	Professional		$2,979.56	$2,979.56	$3,724.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $4,946.06	Professional		$148.10	$302.94	$4,946.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,979.55 / $2,979.56 / $6,304.63	Facility		$2,979.55	$2,979.56	$6,304.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $3,420.00	Professional		$2,979.55	$2,979.55	$3,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,979.56	Professional		$2,901.66	$2,901.66	$2,979.56