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 $1,207.99 / $1,379.67 / $2,223.98	Professional		$1,207.99	$1,379.67	$2,223.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.89 / $2,375.03 / $7,328.02	Facility		$1,402.89	$2,375.03	$7,328.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $1,489.34 / $2,055.03	Professional		$1,195.30	$1,489.34	$2,055.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,191.11 / $1,200.00	Facility		$80.00	$1,191.11	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.92 / $1,490.92 / $1,490.92	Facility		$1,490.92	$1,490.92	$1,490.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.73 / $1,819.56 / $2,828.98	Professional		$1,331.73	$1,819.56	$2,828.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,215.52	Facility		$55.00	$55.00	$12,215.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,981.50 / $10,981.50 / $11,109.83	Professional		$10,981.50	$10,981.50	$11,109.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.67 / $1,660.71 / $2,743.42	Facility		$1,260.67	$1,660.71	$2,743.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.56 / $1,944.68 / $2,411.40	Professional		$1,620.56	$1,944.68	$2,411.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.20 / $1,444.20 / $1,444.20	Professional		$1,444.20	$1,444.20	$1,444.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.55 / $1,684.48 / $2,804.28	Facility		$1,274.55	$1,684.48	$2,804.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,336.14 / $1,880.17 / $2,883.06	Professional		$1,336.14	$1,880.17	$2,883.06
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 $1,106.99 / $1,471.84 / $2,303.50	Professional		$1,106.99	$1,471.84	$2,303.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,106.48 / $1,257.31 / $1,754.95	Professional		$1,106.48	$1,257.31	$1,754.95