Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,331.10 / $2,660.50 / $4,480.60	Professional		$2,331.10	$2,660.50	$4,480.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,578.69 / $4,399.66 / $15,096.35	Facility		$2,578.69	$4,399.66	$15,096.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.23 / $3,063.43 / $4,174.47	Professional		$2,420.23	$3,063.43	$4,174.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,301.94 / $2,364.36	Facility		$80.00	$2,301.94	$2,364.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.99 / $3,522.57 / $5,413.87	Professional		$2,644.99	$3,522.57	$5,413.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,957.58	Facility		$55.00	$55.00	$20,957.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,869.36 / $19,269.12 / $22,504.35	Professional		$18,869.36	$19,269.12	$22,504.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.12 / $3,267.72 / $5,203.18	Facility		$2,429.12	$3,267.72	$5,203.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,218.08 / $3,861.69 / $4,788.50	Professional		$3,218.08	$3,861.69	$4,788.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,380.80 / $3,380.80 / $3,380.80	Professional		$3,380.80	$3,380.80	$3,380.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,457.79 / $3,306.11 / $5,279.20	Facility		$2,457.79	$3,306.11	$5,279.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,670.14 / $3,665.61 / $5,526.14	Professional		$2,670.14	$3,665.61	$5,526.14
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 $2,071.80 / $2,761.58 / $4,454.43	Professional		$2,071.80	$2,761.58	$4,454.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,197.21 / $2,503.13 / $3,459.29	Professional		$2,197.21	$2,503.13	$3,459.29