Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $4,755.52 / $11,911.70	Facility		$3,168.00	$4,755.52	$11,911.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,247.20 / $3,264.00	Professional		$3,072.00	$3,247.20	$3,264.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,637.36 / $6,675.16 / $13,318.67	Facility		$2,637.36	$6,675.16	$13,318.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,225.60 / $3,225.60 / $3,225.60	Professional		$3,225.60	$3,225.60	$3,225.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Facility		$3,264.00	$3,264.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $17,490.00 / $17,490.00	Facility		$3,960.00	$17,490.00	$17,490.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,592.00 / $15,048.00 / $17,280.00	Professional		$14,592.00	$15,048.00	$17,280.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,840.00 / $5,352.96	Facility		$3,072.00	$3,840.00	$5,352.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,277.52 / $5,030.05 / $6,987.20	Professional		$3,277.52	$5,030.05	$6,987.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $3,840.00 / $5,000.68	Facility		$3,168.00	$3,840.00	$5,000.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $4,560.00	Professional		$3,264.00	$3,264.00	$4,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,305.60	Professional		$3,200.00	$3,200.00	$3,305.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,320.00	Professional		$3,200.00	$3,200.00	$4,320.00