Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,997.11 / $2,244.56 / $3,494.18	Professional		$1,997.11	$2,244.56	$3,494.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,572.03 / $14,745.61	Facility		$4,252.01	$7,572.03	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,974.72 / $2,460.48 / $3,807.73	Professional		$1,974.72	$2,460.48	$3,807.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,889.15 / $1,929.52	Facility		$80.00	$1,889.15	$1,929.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.13 / $2,977.57 / $4,450.64	Professional		$2,234.13	$2,977.57	$4,450.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,049.20	Facility		$55.00	$55.00	$20,049.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,301.40 / $19,652.56 / $19,652.56	Professional		$19,301.40	$19,652.56	$19,652.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,124.71 / $2,742.13 / $4,654.50	Facility		$2,124.71	$2,742.13	$4,654.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,685.98 / $3,223.17 / $3,996.73	Professional		$2,685.98	$3,223.17	$3,996.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,697.50 / $2,697.50 / $2,697.50	Professional		$2,697.50	$2,697.50	$2,697.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,128.44 / $2,743.52 / $4,809.64	Facility		$2,128.44	$2,743.52	$4,809.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,247.80 / $3,115.95 / $4,639.10	Professional		$2,247.80	$3,115.95	$4,639.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,134.00	Facility		$2,211.00	$6,662.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,412.11 / $3,799.66	Professional		$1,748.25	$2,412.11	$3,799.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,833.92 / $2,088.12 / $2,892.16	Professional		$1,833.92	$2,088.12	$2,892.16