Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,577.03 / $1,817.81 / $3,146.86	Professional		$1,577.03	$1,817.81	$3,146.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,827.59 / $3,080.88 / $10,567.57	Facility		$1,827.59	$3,080.88	$10,567.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,691.74 / $2,149.41 / $2,938.00	Professional		$1,691.74	$2,149.41	$2,938.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,751.81 / $1,835.58	Facility		$80.00	$1,751.81	$1,835.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.11 / $2,405.57 / $3,627.60	Professional		$1,792.11	$2,405.57	$3,627.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,771.10	Facility		$55.00	$55.00	$22,771.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,574.00 / $18,574.00 / $18,574.00	Professional		$18,574.00	$18,574.00	$18,574.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,758.02 / $2,229.56 / $3,837.37	Facility		$1,758.02	$2,229.56	$3,837.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,270.73 / $2,779.37 / $3,378.84	Professional		$2,270.73	$2,779.37	$3,378.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.00 / $2,076.00 / $2,076.00	Professional		$2,076.00	$2,076.00	$2,076.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,758.02 / $2,229.56 / $4,088.92	Facility		$1,758.02	$2,229.56	$4,088.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,840.97 / $2,529.61 / $3,750.09	Professional		$1,840.97	$2,529.61	$3,750.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.87 / $1,958.18 / $3,052.24	Professional		$1,442.87	$1,958.18	$3,052.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,550.40 / $1,758.02 / $2,414.83	Professional		$1,550.40	$1,758.02	$2,414.83