Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,774.00 / $13,004.00	Facility		$1,093.00	$3,774.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,847.87 / $2,269.02 / $3,661.76	Professional		$1,847.87	$2,269.02	$3,661.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.62 / $3,790.83 / $13,427.50	Facility		$2,199.62	$3,790.83	$13,427.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,136.23 / $2,644.96 / $3,709.93	Professional		$2,136.23	$2,644.96	$3,709.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,179.32 / $2,294.03	Facility		$80.00	$2,179.32	$2,294.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.00 / $2,908.81 / $4,344.64	Professional		$2,127.00	$2,908.81	$4,344.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $28,668.42	Facility		$55.00	$5,000.00	$28,668.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,017.52 / $16,382.64 / $20,847.59	Professional		$16,017.52	$16,382.64	$20,847.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,011.16 / $2,614.32 / $4,262.59	Facility		$2,011.16	$2,614.32	$4,262.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,863.48 / $3,436.17 / $4,260.85	Professional		$2,863.48	$3,436.17	$4,260.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,171.30 / $3,130.27 / $4,260.39	Professional		$2,171.30	$3,130.27	$4,260.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,011.16 / $2,642.45 / $4,548.17	Facility		$2,011.16	$2,642.45	$4,548.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,129.31 / $3,040.60 / $4,603.07	Professional		$2,129.31	$3,040.60	$4,603.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,680.00 / $10,281.00 / $21,039.00	Facility		$4,680.00	$10,281.00	$21,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,780.06 / $2,411.09 / $3,871.31	Professional		$1,780.06	$2,411.09	$3,871.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,955.11 / $2,219.25 / $3,042.09	Professional		$1,955.11	$2,219.25	$3,042.09