Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,188.00 / $10,893.00	Facility		$895.00	$3,188.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.80 / $1,195.81 / $1,953.70	Professional		$980.80	$1,195.81	$1,953.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.44 / $2,277.06 / $4,838.74	Facility		$1,336.44	$2,277.06	$4,838.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.06 / $1,432.56 / $1,952.12	Professional		$1,124.06	$1,432.56	$1,952.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,096.77 / $1,120.59	Facility		$80.00	$1,096.77	$1,120.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $1,391.04 / $1,391.04	Facility		$1,391.04	$1,391.04	$1,391.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.85 / $1,601.70 / $2,417.16	Professional		$1,178.85	$1,601.70	$2,417.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,592.60 / $11,500.00 / $26,542.00	Facility		$4,592.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,857.12 / $9,036.40 / $10,557.90	Professional		$8,857.12	$9,036.40	$10,557.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.71 / $1,402.54 / $2,258.08	Facility		$1,126.71	$1,402.54	$2,258.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.78 / $1,811.73 / $2,246.55	Professional		$1,509.78	$1,811.73	$2,246.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.60 / $2,048.23 / $2,132.94	Professional		$1,334.60	$2,048.23	$2,132.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,126.71 / $1,405.03 / $2,286.38	Facility		$1,126.71	$1,405.03	$2,286.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,227.24 / $1,658.36 / $2,510.53	Professional		$1,227.24	$1,658.36	$2,510.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.13 / $1,284.04 / $1,982.65	Professional		$941.13	$1,284.04	$1,982.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,030.83 / $1,172.00 / $1,624.32	Professional		$1,030.83	$1,172.00	$1,624.32