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 $1,650.16 / $1,836.05 / $3,097.13	Professional		$1,650.16	$1,836.05	$3,097.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.65 / $3,435.01 / $6,614.65	Facility		$1,640.65	$3,435.01	$6,614.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,671.97 / $2,116.31 / $2,883.85	Professional		$1,671.97	$2,116.31	$2,883.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,604.96 / $1,644.23	Facility		$80.00	$1,604.96	$1,644.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.19 / $2,504.33 / $3,878.68	Professional		$1,847.19	$2,504.33	$3,878.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,508.41	Facility		$55.00	$55.00	$14,508.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,361.93 / $18,361.93 / $18,361.93	Professional		$18,361.93	$18,361.93	$18,361.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.86 / $2,579.19 / $4,017.23	Facility		$1,771.86	$2,579.19	$4,017.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.65 / $2,671.98 / $3,313.26	Professional		$2,226.65	$2,671.98	$3,313.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.70 / $3,330.70 / $3,330.70	Professional		$3,330.70	$3,330.70	$3,330.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,771.86 / $2,591.62 / $4,119.83	Facility		$1,771.86	$2,591.62	$4,119.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.25 / $2,610.12 / $3,892.86	Professional		$1,870.25	$2,610.12	$3,892.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.81 / $1,993.47 / $3,226.55	Professional		$1,492.81	$1,993.47	$3,226.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,520.30 / $1,730.24 / $2,394.51	Professional		$1,520.30	$1,730.24	$2,394.51