Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $11,456.60 / $12,272.60	Facility		$3,264.00	$11,456.60	$12,272.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,345.60 / $3,523.21	Professional		$3,264.00	$3,345.60	$3,523.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,520.00 / $6,468.00 / $12,348.00	Facility		$2,520.00	$6,468.00	$12,348.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,427.20 / $3,427.20 / $3,427.20	Professional		$3,427.20	$3,427.20	$3,427.20
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 $3,044.64 / $3,468.00 / $3,468.00	Facility		$3,044.64	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,876.00 / $14,840.00 / $15,300.00	Facility		$3,876.00	$14,840.00	$15,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,504.00 / $15,504.00 / $18,360.00	Professional		$15,504.00	$15,504.00	$18,360.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $4,080.00 / $5,687.52	Facility		$3,264.00	$4,080.00	$5,687.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.39 / $3,456.77 / $4,801.75	Professional		$2,252.39	$3,456.77	$4,801.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $4,080.00 / $5,222.39	Facility		$3,264.00	$4,080.00	$5,222.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $4,651.20	Professional		$3,468.00	$3,468.00	$4,651.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,512.20	Professional		$3,400.00	$3,400.00	$3,512.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $3,400.00 / $4,536.00	Professional		$3,360.00	$3,400.00	$4,536.00