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 $1,597.51 / $1,823.25 / $2,935.57	Professional		$1,597.51	$1,823.25	$2,935.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.95 / $3,138.69 / $10,668.46	Facility		$1,828.95	$3,138.69	$10,668.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.97 / $2,131.50 / $2,904.55	Professional		$1,683.97	$2,131.50	$2,904.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,705.87 / $1,772.20	Facility		$80.00	$1,705.87	$1,772.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.77 / $2,438.36 / $3,752.76	Professional		$1,819.77	$2,438.36	$3,752.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,771.82	Facility		$55.00	$55.00	$28,771.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,872.39 / $19,438.57 / $19,438.57	Professional		$18,872.39	$19,438.57	$19,438.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,767.31 / $2,278.40 / $3,526.11	Facility		$1,767.31	$2,278.40	$3,526.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.91 / $2,678.30 / $3,321.09	Professional		$2,231.91	$2,678.30	$3,321.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.69 / $3,079.58 / $6,702.33	Professional		$2,050.69	$3,079.58	$6,702.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,767.31 / $2,297.50 / $3,720.02	Facility		$1,767.31	$2,297.50	$3,720.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,856.73 / $2,562.60 / $3,885.18	Professional		$1,856.73	$2,562.60	$3,885.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $20,955.00	Facility		$4,600.00	$9,453.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,457.61 / $2,008.85 / $3,136.38	Professional		$1,457.61	$2,008.85	$3,136.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,523.90 / $1,733.36 / $2,385.87	Professional		$1,523.90	$1,733.36	$2,385.87