Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.06 / $1,427.12 / $2,233.12	Professional		$1,201.06	$1,427.12	$2,233.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,382.84 / $2,441.81 / $13,720.66	Facility		$1,382.84	$2,441.81	$13,720.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.96 / $1,845.90 / $2,441.98	Professional		$1,301.96	$1,845.90	$2,441.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,231.33 / $1,252.53	Facility		$80.00	$1,231.33	$1,252.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.02 / $1,585.02 / $1,585.02	Facility		$1,585.02	$1,585.02	$1,585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.87 / $1,836.85 / $2,759.83	Professional		$1,342.87	$1,836.85	$2,759.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,869.28	Facility		$55.00	$55.00	$12,869.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,906.00 / $10,906.00 / $11,997.68	Professional		$10,906.00	$10,906.00	$11,997.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.38 / $1,616.91 / $2,877.96	Facility		$1,318.38	$1,616.91	$2,877.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.85 / $2,067.42 / $2,563.60	Professional		$1,722.85	$2,067.42	$2,563.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.60 / $1,444.60 / $1,444.60	Professional		$1,444.60	$1,444.60	$1,444.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $1,621.46 / $3,074.62	Facility		$1,319.00	$1,621.46	$3,074.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $1,885.39 / $2,894.18	Professional		$1,345.68	$1,885.39	$2,894.18
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 $1,094.42 / $1,471.37 / $2,292.10	Professional		$1,094.42	$1,471.37	$2,292.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,176.32 / $1,337.20 / $1,856.18	Professional		$1,176.32	$1,337.20	$1,856.18