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 $1,216.31 / $1,483.47 / $2,321.46	Professional		$1,216.31	$1,483.47	$2,321.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,485.14 / $9,032.74 / $17,826.21	Facility		$4,485.14	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.01 / $1,708.79 / $2,328.53	Professional		$1,350.01	$1,708.79	$2,328.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,298.10 / $1,329.67	Facility		$80.00	$1,298.10	$1,329.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,662.01 / $1,662.01 / $1,662.01	Facility		$1,662.01	$1,662.01	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.75 / $1,869.77 / $2,795.69	Professional		$1,345.75	$1,869.77	$2,795.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $17,132.00	Facility		$55.00	$2,000.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,550.80 / $10,766.00 / $12,579.23	Professional		$10,550.80	$10,766.00	$12,579.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.25 / $1,544.62 / $2,542.59	Facility		$1,216.25	$1,544.62	$2,542.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.88 / $2,201.82 / $2,676.73	Professional		$1,798.88	$2,201.82	$2,676.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.59 / $1,607.53 / $2,397.30	Professional		$1,283.59	$1,607.53	$2,397.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.72 / $1,544.69 / $2,643.92	Facility		$1,213.72	$1,544.69	$2,643.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,367.50 / $1,961.12 / $3,035.58	Professional		$1,367.50	$1,961.12	$3,035.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,516.43 / $2,353.31	Professional		$1,143.33	$1,516.43	$2,353.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,228.23 / $1,397.85 / $1,934.54	Professional		$1,228.23	$1,397.85	$1,934.54