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 $1,098.04 / $1,295.46 / $2,169.64	Professional		$1,098.04	$1,295.46	$2,169.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,239.55 / $2,162.62 / $7,178.00	Facility		$1,239.55	$2,162.62	$7,178.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.98 / $1,674.72 / $2,258.51	Professional		$1,180.98	$1,674.72	$2,258.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,111.82 / $1,131.91	Facility		$80.00	$1,111.82	$1,131.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.93 / $1,700.11 / $2,506.37	Professional		$1,219.93	$1,700.11	$2,506.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,659.12	Facility		$55.00	$55.00	$11,659.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,657.29 / $9,657.29 / $10,871.25	Professional		$9,657.29	$9,657.29	$10,871.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.08 / $1,538.71 / $2,405.64	Facility		$1,212.08	$1,538.71	$2,405.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.13 / $1,873.35 / $2,322.94	Professional		$1,561.13	$1,873.35	$2,322.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.00 / $1,459.00 / $1,459.00	Professional		$1,459.00	$1,459.00	$1,459.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.40 / $1,550.51 / $2,508.85	Facility		$1,222.40	$1,550.51	$2,508.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,234.35 / $1,755.12 / $2,638.15	Professional		$1,234.35	$1,755.12	$2,638.15
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 $1,002.30 / $1,345.47 / $2,135.52	Professional		$1,002.30	$1,345.47	$2,135.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,065.90 / $1,212.08 / $1,681.71	Professional		$1,065.90	$1,212.08	$1,681.71