Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,847.00 / $14,316.00	Facility		$1,093.00	$3,847.00	$14,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.34 / $1,550.36 / $2,438.60	Professional		$1,322.34	$1,550.36	$2,438.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,645.23 / $4,516.79 / $8,403.96	Facility		$2,645.23	$4,516.79	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.65 / $1,049.65 / $1,234.88	Professional		$1,049.65	$1,049.65	$1,234.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.41 / $2,091.71 / $3,249.12	Professional		$1,498.41	$2,091.71	$3,249.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,774.24	Facility		$55.00	$55.00	$28,774.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,045.20 / $14,268.77 / $14,268.77	Professional		$14,045.20	$14,268.77	$14,268.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $1,661.88 / $2,632.86	Facility		$1,325.54	$1,661.88	$2,632.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.42 / $1,498.05 / $9,074.00	Professional		$1,293.42	$1,498.05	$9,074.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.40 / $1,428.40 / $1,428.40	Professional		$1,428.40	$1,428.40	$1,428.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.25 / $1,696.73 / $2,740.15	Facility		$1,348.25	$1,696.73	$2,740.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,525.73 / $2,111.92 / $3,249.19	Professional		$1,525.73	$2,111.92	$3,249.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,207.00 / $6,662.00 / $13,237.00	Facility		$2,207.00	$6,662.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.69 / $1,516.33 / $2,419.69	Professional		$954.69	$1,516.33	$2,419.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,293.42 / $1,429.32 / $1,847.50	Professional		$1,293.42	$1,429.32	$1,847.50