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 $2,513.11 / $2,868.22 / $4,835.68	Professional		$2,513.11	$2,868.22	$4,835.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,790.77 / $4,699.00 / $14,424.38	Facility		$2,790.77	$4,699.00	$14,424.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,623.09 / $4,021.96 / $7,451.25	Professional		$2,623.09	$4,021.96	$7,451.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,483.34 / $2,551.12	Facility		$80.00	$2,483.34	$2,551.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,817.77 / $3,802.03 / $5,894.00	Professional		$2,817.77	$3,802.03	$5,894.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $22,614.41	Facility		$55.00	$2,000.00	$22,614.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,360.80 / $20,784.32 / $24,287.55	Professional		$20,360.80	$20,784.32	$24,287.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,750.59 / $3,567.46 / $5,497.04	Facility		$2,750.59	$3,567.46	$5,497.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,472.80 / $4,167.35 / $5,167.53	Professional		$3,472.80	$4,167.35	$5,167.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,739.30 / $3,739.30 / $3,739.30	Professional		$3,739.30	$3,739.30	$3,739.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,755.53 / $3,585.48 / $5,698.31	Facility		$2,755.53	$3,585.48	$5,698.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,870.35 / $3,964.23 / $5,988.98	Professional		$2,870.35	$3,964.23	$5,988.98
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 $2,269.08 / $3,121.54 / $4,843.04	Professional		$2,269.08	$3,121.54	$4,843.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,371.14 / $2,701.50 / $3,732.90	Professional		$2,371.14	$2,701.50	$3,732.90