Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.53 / $1,431.83 / $2,383.30	Professional		$1,282.53	$1,431.83	$2,383.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,386.43 / $2,358.36 / $7,769.49	Facility		$1,386.43	$2,358.36	$7,769.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.10 / $1,462.04 / $2,271.08	Professional		$1,139.10	$1,462.04	$2,271.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,190.82 / $1,208.21	Facility		$80.00	$1,190.82	$1,208.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.24 / $1,576.24 / $1,576.24	Facility		$1,576.24	$1,576.24	$1,576.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.88 / $1,890.18 / $2,893.91	Professional		$1,408.88	$1,890.18	$2,893.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,711.44	Facility		$55.00	$55.00	$12,711.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,584.70 / $11,701.95 / $11,967.00	Professional		$11,584.70	$11,701.95	$11,967.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.47 / $1,821.89 / $2,864.00	Facility		$1,351.47	$1,821.89	$2,864.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,695.36 / $2,034.44 / $2,522.69	Professional		$1,695.36	$2,034.44	$2,522.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.60 / $1,563.60 / $1,563.60	Professional		$1,563.60	$1,563.60	$1,563.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,352.99 / $1,831.54 / $2,920.35	Facility		$1,352.99	$1,831.54	$2,920.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,419.57 / $1,984.90 / $2,972.60	Professional		$1,419.57	$1,984.90	$2,972.60
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 $1,145.33 / $1,531.89 / $2,383.16	Professional		$1,145.33	$1,531.89	$2,383.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.55 / $1,318.96 / $1,829.93	Professional		$1,157.55	$1,318.96	$1,829.93