Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,596.00 / $12,377.00	Facility		$983.00	$3,596.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.50 / $1,371.25 / $2,153.48	Professional		$1,164.50	$1,371.25	$2,153.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.22 / $2,332.23 / $7,021.93	Facility		$1,365.22	$2,332.23	$7,021.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.92 / $1,436.58 / $2,159.26	Professional		$1,051.92	$1,436.58	$2,159.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,180.94 / $10,317.70 / $10,317.70	Facility		$1,180.94	$10,317.70	$10,317.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.55 / $1,491.55 / $1,491.55	Facility		$1,491.55	$1,491.55	$1,491.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.70 / $1,782.70 / $2,811.71	Professional		$1,286.70	$1,782.70	$2,811.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,156.36	Facility		$55.00	$55.00	$9,156.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,480.69 / $12,480.69 / $12,480.69	Professional		$12,480.69	$12,480.69	$12,480.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.26 / $1,639.88 / $2,889.49	Facility		$1,295.26	$1,639.88	$2,889.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.75 / $1,943.70 / $2,410.19	Professional		$1,619.75	$1,943.70	$2,410.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,474.90 / $1,474.90 / $1,474.90	Professional		$1,474.90	$1,474.90	$1,474.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,295.26 / $1,664.37 / $3,009.11	Facility		$1,295.26	$1,664.37	$3,009.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.79 / $1,855.55 / $2,841.19	Professional		$1,332.79	$1,855.55	$2,841.19
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 $1,058.97 / $1,400.69 / $2,246.30	Professional		$1,058.97	$1,400.69	$2,246.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,105.93 / $1,258.64 / $1,753.70	Professional		$1,105.93	$1,258.64	$1,753.70