Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,377.00	Facility		$983.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.93 / $1,144.85 / $1,945.83	Professional		$1,027.93	$1,144.85	$1,945.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,571.06 / $8,853.29 / $15,732.53	Facility		$3,571.06	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.21 / $1,319.19 / $1,797.63	Professional		$1,042.21	$1,319.19	$1,797.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,007.33 / $1,029.46	Facility		$80.00	$1,007.33	$1,029.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,280.88	Facility		$1,280.88	$1,280.88	$1,280.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.33 / $1,527.46 / $2,316.34	Professional		$1,146.33	$1,527.46	$2,316.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,226.47 / $25,481.90 / $26,542.00	Facility		$4,226.47	$25,481.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,633.91 / $8,918.83 / $9,716.62	Professional		$8,633.91	$8,918.83	$9,716.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.64 / $1,525.60 / $2,364.94	Facility		$1,105.64	$1,525.60	$2,364.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.29 / $1,700.49 / $2,067.26	Professional		$1,389.29	$1,700.49	$2,067.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.33 / $2,095.50 / $4,224.60	Professional		$1,803.33	$2,095.50	$4,224.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,105.64 / $1,527.46 / $2,490.57	Facility		$1,105.64	$1,527.46	$2,490.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,157.73 / $1,610.07 / $2,350.89	Professional		$1,157.73	$1,610.07	$2,350.89
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 $883.75 / $1,235.89 / $1,963.38	Professional		$883.75	$1,235.89	$1,963.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $948.57 / $1,078.55 / $1,494.57	Professional		$948.57	$1,078.55	$1,494.57