Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,774.00 / $13,401.00	Facility		$1,082.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.77 / $2,270.42 / $3,690.14	Professional		$1,850.77	$2,270.42	$3,690.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.81 / $3,266.98 / $12,536.80	Facility		$1,971.81	$3,266.98	$12,536.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,150.91 / $2,722.53 / $3,622.58	Professional		$2,150.91	$2,722.53	$3,622.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,196.69 / $2,306.81	Facility		$80.00	$2,196.69	$2,306.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.19 / $2,859.30 / $4,252.67	Professional		$2,068.19	$2,859.30	$4,252.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,487.30	Facility		$55.00	$5,000.00	$23,487.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,408.43 / $16,414.72 / $20,835.90	Professional		$16,408.43	$16,414.72	$20,835.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,037.55 / $2,581.42 / $4,189.58	Facility		$2,037.55	$2,581.42	$4,189.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,864.69 / $3,437.63 / $4,262.66	Professional		$2,864.69	$3,437.63	$4,262.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.00 / $1,970.00 / $1,970.00	Professional		$1,970.00	$1,970.00	$1,970.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,037.55 / $2,593.96 / $4,296.58	Facility		$2,037.55	$2,593.96	$4,296.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,113.39 / $3,013.36 / $4,552.00	Professional		$2,113.39	$3,013.36	$4,552.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.35 / $2,350.46 / $3,729.49	Professional		$1,750.35	$2,350.46	$3,729.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,955.94 / $2,218.98 / $3,045.09	Professional		$1,955.94	$2,218.98	$3,045.09