Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.25 / $1,519.78 / $2,384.50	Professional		$1,246.25	$1,519.78	$2,384.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $2,532.13 / $8,309.76	Facility		$1,478.38	$2,532.13	$8,309.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.18 / $1,752.03 / $2,387.46	Professional		$1,384.18	$1,752.03	$2,387.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,332.25 / $1,364.31	Facility		$80.00	$1,332.25	$1,364.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.35 / $1,880.48 / $2,867.09	Professional		$1,351.35	$1,880.48	$2,867.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,305.24	Facility		$55.00	$55.00	$10,305.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,821.60 / $11,038.40 / $12,901.28	Professional		$10,821.60	$11,038.40	$12,901.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.59 / $1,549.28 / $2,508.71	Facility		$1,029.59	$1,549.28	$2,508.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.96 / $2,213.96 / $2,745.30	Professional		$1,844.96	$2,213.96	$2,745.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.08 / $2,562.94 / $5,490.50	Professional		$1,609.08	$2,562.94	$5,490.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.49 / $1,549.77 / $2,608.04	Facility		$1,035.49	$1,549.77	$2,608.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.97 / $1,993.96 / $3,113.16	Professional		$1,375.97	$1,993.96	$3,113.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.61 / $1,552.20 / $2,444.39	Professional		$1,135.61	$1,552.20	$2,444.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,259.70 / $1,433.55 / $1,984.19	Professional		$1,259.70	$1,433.55	$1,984.19