Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,623.41 / $17,782.79	Facility		$2,344.23	$5,623.41	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,265.80	Professional		$2,344.23	$2,951.21	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
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 $2,511.89 / $7,079.46 / $16,982.44	Facility		$2,511.89	$7,079.46	$16,982.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,677.35 / $5,623.41	Professional		$1,862.09	$4,677.35	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $7,244.36	Facility		$2,951.21	$3,981.07	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,786.30	Professional		$2,344.23	$3,090.30	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $8,317.64	Professional		$3,890.45	$4,168.69	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $11,220.18	Facility		$2,754.23	$4,073.80	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,073.80 / $6,760.83	Professional		$1,862.09	$4,073.80	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,890.45	Facility		$1,380.38	$1,621.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,691.53	Professional		$1,621.81	$1,621.81	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Professional		$1,513.56	$3,890.45	$3,890.45