Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,570.00 / $12,480.00	Facility		$1,093.00	$3,570.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $1,650.05 / $2,591.90	Professional		$1,483.69	$1,650.05	$2,591.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,663.45 / $2,807.07 / $8,386.56	Facility		$1,663.45	$2,807.07	$8,386.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.83 / $1,747.49 / $2,619.55	Professional		$1,302.83	$1,747.49	$2,619.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,421.81 / $1,440.02	Facility		$80.00	$1,421.81	$1,440.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.70 / $2,170.98 / $3,388.32	Professional		$1,550.70	$2,170.98	$3,388.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,812.32	Facility		$55.00	$55.00	$14,812.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,308.48 / $14,308.48 / $14,308.48	Professional		$14,308.48	$14,308.48	$14,308.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.02 / $1,973.28 / $3,556.84	Facility		$1,534.02	$1,973.28	$3,556.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.45 / $2,358.54 / $2,924.59	Professional		$1,965.45	$2,358.54	$2,924.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.00 / $1,653.00 / $1,653.00	Professional		$1,653.00	$1,653.00	$1,653.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $1,988.00 / $3,632.04	Facility		$1,538.99	$1,988.00	$3,632.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,627.08 / $2,239.91 / $3,466.71	Professional		$1,627.08	$2,239.91	$3,466.71
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 $1,302.81 / $1,758.04 / $2,727.22	Professional		$1,302.81	$1,758.04	$2,727.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,341.96 / $1,529.23 / $2,127.53	Professional		$1,341.96	$1,529.23	$2,127.53