Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.31 / $1,410.34 / $1,992.90	Facility		$1,000.31	$1,410.34	$1,992.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.26 / $1,504.10 / $2,451.31	Professional		$1,129.26	$1,504.10	$2,451.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.68 / $1,247.63 / $3,934.00	Facility		$710.68	$1,247.63	$3,934.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.86 / $1,472.42 / $2,440.55	Professional		$1,081.86	$1,472.42	$2,440.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,041.58 / $1,058.83	Facility		$80.00	$1,041.58	$1,058.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.04 / $2,067.04 / $2,067.04	Facility		$2,067.04	$2,067.04	$2,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.32 / $1,998.45 / $3,064.35	Professional		$1,337.32	$1,998.45	$3,064.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,979.63	Facility		$55.00	$55.00	$5,979.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,886.79 / $11,568.56 / $13,168.20	Professional		$8,886.79	$11,568.56	$13,168.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,235.40 / $1,912.70 / $2,953.26	Facility		$1,235.40	$1,912.70	$2,953.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.96 / $2,058.21 / $2,771.44	Professional		$1,528.96	$2,058.21	$2,771.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.30 / $2,095.30 / $2,095.30	Professional		$2,095.30	$2,095.30	$2,095.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.17 / $1,927.78 / $2,993.82	Facility		$1,237.17	$1,927.78	$2,993.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.61 / $2,108.56 / $3,201.34	Professional		$1,341.61	$2,108.56	$3,201.34
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 $1,335.90 / $1,800.88 / $2,831.40	Professional		$1,335.90	$1,800.88	$2,831.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,314.08 / $1,494.24 / $2,084.91	Professional		$1,314.08	$1,494.24	$2,084.91