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 $1,198.75 / $1,394.49 / $2,193.81	Professional		$1,198.75	$1,394.49	$2,193.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.74 / $2,397.27 / $7,233.35	Facility		$1,417.74	$2,397.27	$7,233.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.50 / $1,351.79 / $2,167.13	Professional		$319.50	$1,351.79	$2,167.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,209.98 / $1,223.20	Facility		$80.00	$1,209.98	$1,223.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.95 / $1,852.69 / $2,885.08	Professional		$1,308.95	$1,852.69	$2,885.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,527.60	Facility		$55.00	$55.00	$12,527.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,111.43 / $13,111.43 / $13,111.43	Professional		$13,111.43	$13,111.43	$13,111.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.26 / $1,659.68 / $2,943.88	Facility		$1,304.26	$1,659.68	$2,943.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.20 / $1,994.64 / $2,473.35	Professional		$1,662.20	$1,994.64	$2,473.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.60 / $1,502.60 / $1,502.60	Professional		$1,502.60	$1,502.60	$1,502.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.26 / $1,659.97 / $3,062.24	Facility		$1,304.26	$1,659.97	$3,062.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.15 / $1,906.81 / $2,896.55	Professional		$1,368.15	$1,906.81	$2,896.55
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 $1,096.31 / $1,477.68 / $2,332.67	Professional		$1,096.31	$1,477.68	$2,332.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,134.91 / $1,291.97 / $1,799.54	Professional		$1,134.91	$1,291.97	$1,799.54