Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,187.33 / $1,913.54	Professional		$1,034.97	$1,187.33	$1,913.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,278.00 / $8,267.10	Facility		$2,354.21	$4,278.00	$8,267.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.83 / $1,330.09 / $1,812.49	Professional		$1,050.83	$1,330.09	$1,812.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,177.27 / $1,227.23	Facility		$80.00	$1,177.27	$1,227.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,379.69 / $1,379.69	Facility		$1,379.69	$1,379.69	$1,379.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.71 / $1,528.22 / $2,330.78	Professional		$1,126.71	$1,528.22	$2,330.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,063.09 / $11,500.00 / $16,394.00	Facility		$8,063.09	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,430.79 / $8,612.71 / $10,879.28	Professional		$8,430.79	$8,612.71	$10,879.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.33 / $1,345.26 / $2,144.85	Facility		$1,084.33	$1,345.26	$2,144.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.66 / $1,799.60 / $2,231.50	Professional		$1,499.66	$1,799.60	$2,231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.80 / $1,190.80 / $1,190.80	Professional		$1,190.80	$1,190.80	$1,190.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.80 / $1,349.41 / $2,266.04	Facility		$1,094.80	$1,349.41	$2,266.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,617.38 / $2,432.56	Professional		$1,161.00	$1,617.38	$2,432.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.03 / $1,246.00 / $1,979.86	Professional		$945.03	$1,246.00	$1,979.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.93 / $1,159.72 / $1,596.63	Professional		$1,023.93	$1,159.72	$1,596.63