Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,224.00 / $11,453.00	Facility		$880.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.25 / $1,164.33 / $1,801.22	Professional		$997.25	$1,164.33	$1,801.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.87 / $3,663.85 / $7,118.99	Facility		$1,947.87	$3,663.85	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.44 / $1,315.68 / $1,792.85	Professional		$1,039.44	$1,315.68	$1,792.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,026.53 / $1,054.83	Facility		$80.00	$1,026.53	$1,054.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.64 / $1,509.90 / $2,333.78	Professional		$1,131.64	$1,509.90	$2,333.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,343.80 / $11,500.00 / $26,542.00	Facility		$6,343.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,189.53 / $11,189.53 / $11,189.53	Professional		$11,189.53	$11,189.53	$11,189.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.69 / $1,405.39 / $2,379.71	Facility		$1,099.69	$1,405.39	$2,379.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.45 / $1,663.74 / $2,063.04	Professional		$1,386.45	$1,663.74	$2,063.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,924.94 / $4,129.24	Professional		$1,241.83	$1,924.94	$4,129.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.69 / $1,421.25 / $2,502.00	Facility		$1,099.69	$1,421.25	$2,502.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.97 / $1,558.48 / $2,374.32	Professional		$1,147.97	$1,558.48	$2,374.32
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.48 / $1,227.72 / $1,948.23	Professional		$906.48	$1,227.72	$1,948.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $1,078.13 / $1,487.84	Professional		$946.63	$1,078.13	$1,487.84