Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.00 / $3,682.00 / $12,941.00	Facility		$1,127.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.96 / $1,450.55 / $2,355.08	Professional		$1,270.96	$1,450.55	$2,355.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.16 / $2,486.03 / $10,035.62	Facility		$1,464.16	$2,486.03	$10,035.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.83 / $1,522.63 / $2,282.46	Professional		$1,144.83	$1,522.63	$2,282.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,245.18 / $1,259.27	Facility		$80.00	$1,245.18	$1,259.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.97 / $1,901.16 / $2,968.82	Professional		$1,357.97	$1,901.16	$2,968.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,912.00	Facility		$55.00	$55.00	$12,912.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,577.03 / $13,577.03 / $13,577.03	Professional		$13,577.03	$13,577.03	$13,577.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.47 / $1,708.58 / $3,049.15	Facility		$1,358.47	$1,708.58	$3,049.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.15 / $2,055.78 / $2,549.17	Professional		$1,713.15	$2,055.78	$2,549.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,535.40 / $1,535.40 / $1,535.40	Professional		$1,535.40	$1,535.40	$1,535.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,358.47 / $1,729.52 / $3,210.09	Facility		$1,358.47	$1,729.52	$3,210.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.23 / $1,990.20 / $2,985.06	Professional		$1,410.23	$1,990.20	$2,985.06
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 $1,142.08 / $1,539.35 / $2,394.52	Professional		$1,142.08	$1,539.35	$2,394.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,169.70 / $1,331.83 / $1,854.68	Professional		$1,169.70	$1,331.83	$1,854.68