Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.74 / $3,925.00 / $13,401.00	Facility		$1,030.74	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.57 / $1,136.25 / $1,871.89	Professional		$995.57	$1,136.25	$1,871.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,252.08	Facility		$5,084.66	$9,092.56	$18,252.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.75 / $1,311.00 / $1,786.48	Professional		$1,035.75	$1,311.00	$1,786.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,008.74 / $1,026.78	Facility		$80.00	$1,008.74	$1,026.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.46 / $1,496.53 / $2,319.42	Professional		$1,106.46	$1,496.53	$2,319.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,287.88 / $19,913.50 / $26,542.00	Facility		$6,287.88	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,747.54 / $8,747.54 / $9,634.79	Professional		$8,747.54	$8,747.54	$9,634.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.10 / $1,384.21 / $2,227.50	Facility		$1,086.10	$1,384.21	$2,227.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.18 / $1,655.01 / $2,052.21	Professional		$1,379.18	$1,655.01	$2,052.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.03 / $1,939.20 / $4,096.76	Professional		$1,098.03	$1,939.20	$4,096.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.10 / $1,392.58 / $2,275.52	Facility		$1,086.10	$1,392.58	$2,275.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,138.99 / $1,536.39 / $2,330.38	Professional		$1,138.99	$1,536.39	$2,330.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.87 / $1,209.79 / $1,914.27	Professional		$875.87	$1,209.79	$1,914.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.67 / $1,069.65 / $1,484.87	Professional		$941.67	$1,069.65	$1,484.87