Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,895.00 / $13,401.00	Facility		$1,093.00	$3,895.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,298.24 / $2,151.17	Professional		$1,137.50	$1,298.24	$2,151.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.49 / $1,498.01 / $2,041.31	Professional		$1,183.49	$1,498.01	$2,041.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,152.52 / $1,176.21	Facility		$80.00	$1,152.52	$1,176.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,453.45 / $1,453.45	Facility		$1,453.45	$1,453.45	$1,453.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.09 / $1,705.63 / $2,627.96	Professional		$1,268.09	$1,705.63	$2,627.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,206.30 / $26,542.00 / $37,623.85	Facility		$7,206.30	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,268.24 / $9,454.64 / $11,047.35	Professional		$9,268.24	$9,454.64	$11,047.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.67 / $1,508.46 / $2,444.65	Facility		$1,218.67	$1,508.46	$2,444.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.73 / $1,895.67 / $2,350.63	Professional		$1,579.73	$1,895.67	$2,350.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.30 / $1,576.30 / $1,576.30	Professional		$1,576.30	$1,576.30	$1,576.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,224.13 / $1,509.35 / $2,580.83	Facility		$1,224.13	$1,509.35	$2,580.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,306.88 / $1,748.39 / $2,663.06	Professional		$1,306.88	$1,748.39	$2,663.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.30 / $1,366.93 / $2,147.59	Professional		$1,002.30	$1,366.93	$2,147.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.59 / $1,225.70 / $1,699.92	Professional		$1,078.59	$1,225.70	$1,699.92