Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,617.00 / $12,480.00	Facility		$1,086.00	$3,617.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.76 / $2,023.79 / $3,208.58	Professional		$1,687.76	$2,023.79	$3,208.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.24 / $3,375.67 / $8,317.00	Facility		$1,962.24	$3,375.67	$8,317.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.79 / $2,275.54 / $3,092.57	Professional		$1,798.79	$2,275.54	$3,092.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,775.03 / $1,798.96	Facility		$80.00	$1,775.03	$1,798.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.73 / $2,252.73 / $2,252.73	Facility		$2,252.73	$2,252.73	$2,252.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,894.95 / $2,596.14 / $3,865.16	Professional		$1,894.95	$2,596.14	$3,865.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,454.80	Facility		$55.00	$55.00	$27,454.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,283.99 / $29,283.99 / $29,283.99	Professional		$29,283.99	$29,283.99	$29,283.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.09 / $2,323.89 / $3,977.12	Facility		$1,801.09	$2,323.89	$3,977.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.63 / $2,938.35 / $3,643.55	Professional		$2,448.63	$2,938.35	$3,643.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.70 / $1,799.70 / $1,799.70	Professional		$1,799.70	$1,799.70	$1,799.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,801.09 / $2,368.94 / $4,492.31	Facility		$1,801.09	$2,368.94	$4,492.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,917.98 / $2,724.64 / $4,134.63	Professional		$1,917.98	$2,724.64	$4,134.63
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 $1,566.31 / $2,119.13 / $3,307.44	Professional		$1,566.31	$2,119.13	$3,307.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,671.86 / $1,897.56 / $2,639.60	Professional		$1,671.86	$1,897.56	$2,639.60