Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,647.00 / $12,281.00	Facility		$983.00	$3,647.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,120.53 / $1,774.55	Professional		$944.47	$1,120.53	$1,774.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,330.50 / $18,089.08 / $35,464.12	Facility		$8,330.50	$18,089.08	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.62 / $1,256.24 / $1,762.06	Professional		$1,014.62	$1,256.24	$1,762.06
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 $1,070.17 / $1,463.71 / $2,248.96	Professional		$1,070.17	$1,463.71	$2,248.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $37,623.85	Facility		$55.00	$55.00	$37,623.85
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 / $2,061.51	Facility		$1,058.52	$1,351.68	$2,061.51
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 $1,067.17 / $1,351.68 / $2,137.21	Facility		$1,067.17	$1,351.68	$2,137.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,123.45 / $1,504.53 / $2,288.44	Professional		$1,123.45	$1,504.53	$2,288.44
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 $876.26 / $1,177.31 / $1,842.54	Professional		$876.26	$1,177.31	$1,842.54
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