Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.41 / $3,925.00 / $9,890.00	Facility		$1,027.41	$3,925.00	$9,890.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,112.15 / $1,774.55	Professional		$942.87	$1,112.15	$1,774.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $9,272.02 / $18,364.59	Facility		$5,323.94	$9,272.02	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.58 / $1,277.89 / $1,741.35	Professional		$1,009.58	$1,277.89	$1,741.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,003.25 / $1,021.05	Facility		$80.00	$1,003.25	$1,021.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.56 / $1,256.56 / $1,256.56	Facility		$1,256.56	$1,256.56	$1,256.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.83 / $1,455.31 / $2,247.92	Professional		$1,075.83	$1,455.31	$2,247.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,112.45	Facility		$55.00	$55.00	$26,112.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,014.80 / $8,172.08 / $9,552.37	Professional		$8,014.80	$8,172.08	$9,552.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.52 / $1,351.68 / $2,061.00	Facility		$1,058.52	$1,351.68	$2,061.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.83 / $1,638.99 / $2,032.35	Professional		$1,365.83	$1,638.99	$2,032.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.11 / $1,852.41 / $2,284.40	Professional		$1,181.11	$1,852.41	$2,284.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,059.19 / $1,352.38 / $2,133.67	Facility		$1,059.19	$1,352.38	$2,133.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,115.24 / $1,501.52 / $2,281.31	Professional		$1,115.24	$1,501.52	$2,281.31
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 $867.57 / $1,166.51 / $1,862.95	Professional		$867.57	$1,166.51	$1,862.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,058.52 / $1,470.42	Professional		$932.55	$1,058.52	$1,470.42