Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,762.00 / $13,401.00	Facility		$1,048.00	$3,762.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.11 / $1,950.31 / $3,336.66	Professional		$1,690.11	$1,950.31	$3,336.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.14 / $3,304.41 / $11,348.67	Facility		$1,962.14	$3,304.41	$11,348.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.06 / $2,082.73 / $3,075.15	Professional		$1,560.06	$2,082.73	$3,075.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,881.94 / $1,971.27	Facility		$80.00	$1,881.94	$1,971.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.91 / $2,586.00 / $3,940.61	Professional		$1,937.91	$2,586.00	$3,940.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,428.03	Facility		$55.00	$55.00	$24,428.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,694.52 / $13,963.92 / $17,701.28	Professional		$13,694.52	$13,963.92	$17,701.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,885.56 / $2,340.32 / $3,753.74	Facility		$1,885.56	$2,340.32	$3,753.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.69 / $2,922.83 / $3,624.30	Professional		$2,435.69	$2,922.83	$3,624.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.73 / $3,320.58 / $7,309.78	Professional		$2,246.73	$3,320.58	$7,309.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,885.56 / $2,380.55 / $4,010.20	Facility		$1,885.56	$2,380.55	$4,010.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,979.16 / $2,737.81 / $4,036.99	Professional		$1,979.16	$2,737.81	$4,036.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $30,113.00	Facility		$4,600.00	$9,027.00	$30,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.81 / $2,110.67 / $3,312.32	Professional		$1,555.81	$2,110.67	$3,312.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,663.03 / $1,885.56 / $2,590.44	Professional		$1,663.03	$1,885.56	$2,590.44