Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.49 / $3,682.00 / $12,377.00	Facility		$1,006.49	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.27 / $1,206.82 / $1,996.21	Professional		$1,050.27	$1,206.82	$1,996.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,460.41 / $4,325.17 / $8,431.35	Facility		$2,460.41	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.54 / $1,390.48 / $1,894.78	Professional		$1,098.54	$1,390.48	$1,894.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,087.58 / $1,099.11	Facility		$80.00	$1,087.58	$1,099.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $1,330.96 / $1,330.96	Facility		$1,330.96	$1,330.96	$1,330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.66 / $1,536.42 / $2,340.11	Professional		$1,161.66	$1,536.42	$2,340.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,379.08 / $11,500.00 / $26,542.00	Facility		$4,379.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,474.08 / $8,720.71 / $10,092.23	Professional		$8,474.08	$8,720.71	$10,092.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.73 / $1,486.67 / $2,303.52	Facility		$1,136.73	$1,486.67	$2,303.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.06 / $1,731.68 / $2,147.28	Professional		$1,443.06	$1,731.68	$2,147.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.23 / $1,374.31 / $1,937.15	Professional		$1,256.23	$1,374.31	$1,937.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.50 / $1,487.35 / $2,342.05	Facility		$1,137.50	$1,487.35	$2,342.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.84 / $1,593.32 / $2,397.48	Professional		$1,172.84	$1,593.32	$2,397.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.53 / $1,200.70 / $1,904.21	Professional		$900.53	$1,200.70	$1,904.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $985.29 / $1,115.20 / $1,555.43	Professional		$985.29	$1,115.20	$1,555.43