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 $1,472.69 / $1,680.79 / $2,765.30	Professional		$1,472.69	$1,680.79	$2,765.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.63 / $7,572.03 / $14,745.61	Facility		$4,208.63	$7,572.03	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.94 / $2,257.11 / $4,498.56	Professional		$1,521.94	$2,257.11	$4,498.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,387.35 / $1,409.90	Facility		$80.00	$1,387.35	$1,409.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $1,858.64	Facility		$1,858.64	$1,858.64	$1,858.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.79 / $2,184.55 / $3,361.90	Professional		$1,572.79	$2,184.55	$3,361.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,973.00	Facility		$55.00	$55.00	$20,973.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,240.27 / $16,240.27 / $16,240.27	Professional		$16,240.27	$16,240.27	$16,240.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.86 / $2,066.40 / $3,534.53	Facility		$1,588.86	$2,066.40	$3,534.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.93 / $2,389.11 / $2,962.50	Professional		$1,990.93	$2,389.11	$2,962.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,968.30 / $1,968.30 / $1,968.30	Professional		$1,968.30	$1,968.30	$1,968.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,588.86 / $2,068.98 / $3,635.94	Facility		$1,588.86	$2,068.98	$3,635.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,652.58 / $2,286.73 / $3,490.64	Professional		$1,652.58	$2,286.73	$3,490.64
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 $1,325.83 / $1,792.39 / $2,819.14	Professional		$1,325.83	$1,792.39	$2,819.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,359.36 / $1,549.99 / $2,148.55	Professional		$1,359.36	$1,549.99	$2,148.55