Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.22 / $1,452.38 / $2,285.56	Professional		$1,208.22	$1,452.38	$2,285.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,436.04 / $2,505.42 / $8,006.00	Facility		$1,436.04	$2,505.42	$8,006.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.81 / $1,538.56 / $2,306.36	Professional		$1,156.81	$1,538.56	$2,306.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,251.74 / $1,267.45	Facility		$80.00	$1,251.74	$1,267.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $1,596.46	Facility		$1,596.46	$1,596.46	$1,596.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.17 / $1,908.71 / $2,876.81	Professional		$1,380.17	$1,908.71	$2,876.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,154.97 / $17,154.97 / $17,154.97	Professional		$17,154.97	$17,154.97	$17,154.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.65 / $1,748.49 / $2,913.76	Facility		$1,371.65	$1,748.49	$2,913.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.73 / $2,075.67 / $2,573.83	Professional		$1,729.73	$2,075.67	$2,573.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.00 / $1,579.00 / $1,579.00	Professional		$1,579.00	$1,579.00	$1,579.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,372.61 / $1,749.41 / $3,232.55	Facility		$1,372.61	$1,749.41	$3,232.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,424.98 / $1,970.10 / $2,989.32	Professional		$1,424.98	$1,970.10	$2,989.32
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 $1,124.83 / $1,493.79 / $2,400.42	Professional		$1,124.83	$1,493.79	$2,400.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,181.01 / $1,345.70 / $1,872.34	Professional		$1,181.01	$1,345.70	$1,872.34