Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.90 / $3,682.00 / $12,941.00	Facility		$1,220.90	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.47 / $1,479.34 / $2,293.94	Professional		$1,291.47	$1,479.34	$2,293.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.08 / $2,447.41 / $10,002.45	Facility		$1,452.08	$2,447.41	$10,002.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.50 / $1,218.95 / $2,200.09	Professional		$1,014.50	$1,218.95	$2,200.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,266.84 / $1,279.64	Facility		$80.00	$1,266.84	$1,279.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.88 / $1,599.88 / $1,599.88	Facility		$1,599.88	$1,599.88	$1,599.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.63 / $1,912.53 / $3,017.62	Professional		$1,398.63	$1,912.53	$3,017.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,073.36	Facility		$55.00	$55.00	$13,073.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,789.51 / $15,789.51 / $15,789.51	Professional		$15,789.51	$15,789.51	$15,789.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.59 / $1,751.93 / $3,091.47	Facility		$1,374.59	$1,751.93	$3,091.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.58 / $2,081.48 / $2,581.05	Professional		$1,734.58	$2,081.48	$2,581.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.70 / $1,565.70 / $1,565.70	Professional		$1,565.70	$1,565.70	$1,565.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,386.15 / $1,775.78 / $3,216.53	Facility		$1,386.15	$1,775.78	$3,216.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.21 / $1,983.37 / $3,044.35	Professional		$1,427.21	$1,983.37	$3,044.35
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 $1,155.33 / $1,551.39 / $2,463.90	Professional		$1,155.33	$1,551.39	$2,463.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,184.33 / $1,347.64 / $1,878.01	Professional		$1,184.33	$1,347.64	$1,878.01