Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $3,895.00 / $13,401.00	Facility		$1,267.00	$3,895.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.85 / $1,618.61 / $2,703.51	Professional		$1,431.85	$1,618.61	$2,703.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.24 / $7,566.83 / $14,745.61	Facility		$4,165.24	$7,566.83	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,434.96 / $1,787.95 / $2,467.06	Professional		$1,434.96	$1,787.95	$2,467.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,427.21 / $1,443.15	Facility		$80.00	$1,427.21	$1,443.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $1,794.83	Facility		$1,794.83	$1,794.83	$1,794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,533.37 / $2,124.10 / $3,294.31	Professional		$1,533.37	$2,124.10	$3,294.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $27,814.40	Facility		$11,500.00	$26,542.00	$27,814.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,959.18 / $23,959.18 / $23,959.18	Professional		$23,959.18	$23,959.18	$23,959.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.59 / $1,928.27 / $3,290.00	Facility		$1,481.59	$1,928.27	$3,290.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.90 / $2,341.08 / $2,902.94	Professional		$1,950.90	$2,341.08	$2,902.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.10 / $1,633.10 / $1,633.10	Professional		$1,633.10	$1,633.10	$1,633.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.99 / $1,946.18 / $3,587.91	Facility		$1,482.99	$1,946.18	$3,587.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,611.70 / $2,219.55 / $3,353.81	Professional		$1,611.70	$2,219.55	$3,353.81
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 $1,271.73 / $1,706.96 / $2,673.74	Professional		$1,271.73	$1,706.96	$2,673.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,332.03 / $1,510.34 / $2,103.88	Professional		$1,332.03	$1,510.34	$2,103.88