Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.95 / $1,121.38 / $1,805.20	Professional		$918.95	$1,121.38	$1,805.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.96 / $1,964.10 / $11,036.40	Facility		$1,098.96	$1,964.10	$11,036.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.91 / $1,339.06 / $1,824.70	Professional		$1,057.91	$1,339.06	$1,824.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,132.06 / $1,173.14	Facility		$80.00	$1,132.06	$1,173.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.66 / $1,403.24 / $2,079.38	Professional		$1,048.66	$1,403.24	$2,079.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,671.11	Facility		$55.00	$55.00	$11,671.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,990.48 / $8,158.32 / $10,254.08	Professional		$7,990.48	$8,158.32	$10,254.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.17 / $1,261.30 / $1,994.90	Facility		$1,025.17	$1,261.30	$1,994.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,416.78 / $1,700.13 / $2,108.16	Professional		$1,416.78	$1,700.13	$2,108.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.30 / $1,127.30 / $1,127.30	Professional		$1,127.30	$1,127.30	$1,127.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.34 / $1,261.30 / $2,035.76	Facility		$1,026.34	$1,261.30	$2,035.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.80 / $1,476.93 / $2,226.67	Professional		$1,061.80	$1,476.93	$2,226.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.64 / $1,165.69 / $1,804.73	Professional		$863.64	$1,165.69	$1,804.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,094.06 / $1,510.47	Professional		$967.34	$1,094.06	$1,510.47