Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,553.00 / $12,377.00	Facility		$1,093.00	$3,553.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.20 / $2,143.84 / $3,585.89	Professional		$1,770.20	$2,143.84	$3,585.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,044.84 / $3,693.90 / $18,372.75	Facility		$2,044.84	$3,693.90	$18,372.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.20 / $2,285.21 / $3,425.61	Professional		$1,718.20	$2,285.21	$3,425.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,808.48 / $1,848.51	Facility		$80.00	$1,808.48	$1,848.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.55 / $2,804.06 / $4,181.16	Professional		$2,012.55	$2,804.06	$4,181.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,224.64	Facility		$55.00	$55.00	$19,224.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,567.24 / $19,923.77 / $19,923.77	Professional		$19,567.24	$19,923.77	$19,923.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,003.29 / $2,563.11 / $4,210.95	Facility		$2,003.29	$2,563.11	$4,210.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,576.00 / $3,091.20 / $3,833.09	Professional		$2,576.00	$3,091.20	$3,833.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.80 / $2,686.80 / $2,686.80	Professional		$2,686.80	$2,686.80	$2,686.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,003.29 / $2,570.52 / $4,671.53	Facility		$2,003.29	$2,570.52	$4,671.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,031.17 / $2,918.14 / $4,395.89	Professional		$2,031.17	$2,918.14	$4,395.89
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 $1,655.82 / $2,226.37 / $3,466.18	Professional		$1,655.82	$2,226.37	$3,466.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,758.83 / $2,003.29 / $2,773.35	Professional		$1,758.83	$2,003.29	$2,773.35