Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,213.00 / $11,453.00	Facility		$872.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.49 / $1,352.71 / $2,132.64	Professional		$1,113.49	$1,352.71	$2,132.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,640.75 / $9,032.74 / $17,826.21	Facility		$4,640.75	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.13 / $1,564.63 / $2,132.09	Professional		$1,236.13	$1,564.63	$2,132.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,194.16 / $1,221.59	Facility		$80.00	$1,194.16	$1,221.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.54 / $1,521.54 / $1,521.54	Facility		$1,521.54	$1,521.54	$1,521.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.88 / $1,661.04 / $2,569.44	Professional		$1,139.88	$1,661.04	$2,569.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $26,674.30	Facility		$55.00	$2,000.00	$26,674.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,672.95 / $9,868.71 / $11,534.63	Professional		$9,672.95	$9,868.71	$11,534.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.49 / $1,392.74 / $2,332.58	Facility		$858.49	$1,392.74	$2,332.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.26 / $1,979.12 / $2,454.10	Professional		$1,649.26	$1,979.12	$2,454.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.44 / $2,237.23 / $2,418.71	Professional		$1,329.44	$2,237.23	$2,418.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.49 / $1,396.24 / $2,375.44	Facility		$858.49	$1,396.24	$2,375.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,191.09 / $1,792.29 / $2,778.28	Professional		$1,191.09	$1,792.29	$2,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,237.00	Facility		$2,093.00	$6,002.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.93 / $1,365.22 / $2,146.46	Professional		$974.93	$1,365.22	$2,146.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,126.08 / $1,280.95 / $1,773.95	Professional		$1,126.08	$1,280.95	$1,773.95