Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $21,877.62	Facility		$2,884.03	$6,918.31	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,248.07	Professional		$2,884.03	$3,630.78	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $24,547.09	Facility		$4,365.16	$11,748.98	$24,547.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $21,379.62	Facility		$3,090.30	$3,630.78	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,888.44 / $6,918.31	Professional		$2,511.89	$5,888.44	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $35,481.34 / $35,481.34	Professional		$23,988.33	$35,481.34	$35,481.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $8,912.51	Facility		$3,630.78	$4,897.79	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,025.60	Professional		$2,884.03	$3,801.89	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $10,232.93	Professional		$4,677.35	$5,128.61	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $14,125.38	Facility		$3,467.37	$4,897.79	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $8,317.64	Professional		$2,511.89	$5,011.87	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $4,786.30	Facility		$1,737.80	$1,995.26	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Professional		$1,995.26	$1,995.26	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,786.30 / $4,786.30	Professional		$1,862.09	$4,786.30	$4,786.30