Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,856.98 / $2,070.26 / $3,488.33	Professional		$1,856.98	$2,070.26	$3,488.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.29 / $3,419.79 / $8,364.50	Facility		$2,086.29	$3,419.79	$8,364.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.84 / $2,903.80 / $5,452.28	Professional		$1,893.84	$2,903.80	$5,452.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,793.87 / $1,841.74	Facility		$80.00	$1,793.87	$1,841.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.27 / $2,800.00 / $4,382.08	Professional		$2,079.27	$2,800.00	$4,382.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,319.10	Facility		$55.00	$55.00	$16,319.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,192.43 / $19,192.43 / $19,192.43	Professional		$19,192.43	$19,192.43	$19,192.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,993.69 / $2,840.49 / $4,482.53	Facility		$1,993.69	$2,840.49	$4,482.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.64 / $3,006.77 / $3,728.39	Professional		$2,505.64	$3,006.77	$3,728.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,472.10 / $3,472.10 / $3,472.10	Professional		$3,472.10	$3,472.10	$3,472.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,993.69 / $2,851.83 / $4,551.03	Facility		$1,993.69	$2,851.83	$4,551.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,099.36 / $2,910.18 / $4,397.95	Professional		$2,099.36	$2,910.18	$4,397.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,918.00 / $16,194.00	Facility		$2,614.00	$7,918.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.08 / $2,258.35 / $3,643.33	Professional		$1,630.08	$2,258.35	$3,643.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,710.79 / $1,948.79 / $2,693.60	Professional		$1,710.79	$1,948.79	$2,693.60