Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,620.00 / $12,941.00	Facility		$1,093.00	$3,620.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,565.54 / $2,487.16	Professional		$1,328.43	$1,565.54	$2,487.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.80 / $2,699.65 / $9,564.00	Facility		$1,549.80	$2,699.65	$9,564.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.58 / $1,258.63 / $2,216.66	Professional		$1,096.58	$1,258.63	$2,216.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,361.20 / $1,378.99	Facility		$80.00	$1,361.20	$1,378.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.56 / $1,738.56 / $1,738.56	Facility		$1,738.56	$1,738.56	$1,738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.62 / $2,056.61 / $3,162.16	Professional		$1,478.62	$2,056.61	$3,162.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,181.68	Facility		$55.00	$55.00	$14,181.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,677.74 / $13,677.74 / $13,677.74	Professional		$13,677.74	$13,677.74	$13,677.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,464.33 / $1,869.34 / $3,208.67	Facility		$1,464.33	$1,869.34	$3,208.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.76 / $2,258.12 / $2,800.06	Professional		$1,881.76	$2,258.12	$2,800.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.30 / $1,586.30 / $1,586.30	Professional		$1,586.30	$1,586.30	$1,586.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.34 / $1,870.45 / $3,241.50	Facility		$1,474.34	$1,870.45	$3,241.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,550.35 / $2,130.50 / $3,272.44	Professional		$1,550.35	$2,130.50	$3,272.44
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 $1,242.53 / $1,666.45 / $2,641.78	Professional		$1,242.53	$1,666.45	$2,641.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,284.82 / $1,464.33 / $2,036.91	Professional		$1,284.82	$1,464.33	$2,036.91