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 $2,204.07 / $2,685.70 / $4,375.89	Professional		$2,204.07	$2,685.70	$4,375.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.04 / $4,414.56 / $12,728.29	Facility		$2,471.04	$4,414.56	$12,728.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,431.23 / $3,010.21 / $4,222.25	Professional		$2,431.23	$3,010.21	$4,222.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,369.08 / $2,422.32	Facility		$80.00	$2,369.08	$2,422.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,458.23 / $3,416.28 / $5,094.68	Professional		$2,458.23	$3,416.28	$5,094.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $27,383.58	Facility		$55.00	$2,000.00	$27,383.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,164.80 / $19,546.00 / $22,851.38	Professional		$19,164.80	$19,546.00	$22,851.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,562.87 / $3,283.73 / $5,003.16	Facility		$2,562.87	$3,283.73	$5,003.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,267.40 / $3,920.88 / $4,861.89	Professional		$3,267.40	$3,920.88	$4,861.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,372.70 / $3,372.70 / $3,372.70	Professional		$3,372.70	$3,372.70	$3,372.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,583.87 / $3,295.95 / $5,280.86	Facility		$2,583.87	$3,295.95	$5,280.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,518.40 / $3,563.35 / $5,498.57	Professional		$2,518.40	$3,563.35	$5,498.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,027.93 / $2,732.31 / $4,476.54	Professional		$2,027.93	$2,732.31	$4,476.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,230.90 / $2,537.06 / $3,514.82	Professional		$2,230.90	$2,537.06	$3,514.82