Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $12,040.00	Facility		$969.00	$3,511.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.88 / $1,256.44 / $1,970.83	Professional		$1,100.88	$1,256.44	$1,970.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,663.84 / $16,006.75	Facility		$4,252.01	$7,663.84	$16,006.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.95 / $1,638.11 / $2,167.08	Professional		$1,146.95	$1,638.11	$2,167.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,087.89 / $1,105.86	Facility		$80.00	$1,087.89	$1,105.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.58 / $1,648.73 / $2,473.23	Professional		$1,205.58	$1,648.73	$2,473.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,641.99 / $14,641.99 / $14,641.99	Professional		$14,641.99	$14,641.99	$14,641.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,168.96 / $1,452.42 / $2,532.00	Facility		$1,168.96	$1,452.42	$2,532.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.88 / $1,823.85 / $2,261.57	Professional		$1,519.88	$1,823.85	$2,261.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.80 / $1,500.80 / $1,500.80	Professional		$1,500.80	$1,500.80	$1,500.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,168.96 / $1,477.80 / $2,729.25	Facility		$1,168.96	$1,477.80	$2,729.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,246.55 / $1,699.10 / $2,565.17	Professional		$1,246.55	$1,699.10	$2,565.17
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 $968.48 / $1,321.92 / $2,094.48	Professional		$968.48	$1,321.92	$2,094.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,037.73 / $1,179.30 / $1,637.71	Professional		$1,037.73	$1,179.30	$1,637.71