Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $2,747.00 / $8,328.00	Facility		$847.00	$2,747.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.70 / $1,692.99 / $2,791.08	Professional		$1,431.70	$1,692.99	$2,791.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.58 / $4,270.42 / $8,431.35	Facility		$2,381.58	$4,270.42	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,533.15 / $1,940.60 / $2,644.41	Professional		$1,533.15	$1,940.60	$2,644.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,496.51 / $1,519.59	Facility		$80.00	$1,496.51	$1,519.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $1,857.88	Facility		$1,857.88	$1,857.88	$1,857.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.66 / $2,168.58 / $3,262.08	Professional		$1,636.66	$2,168.58	$3,262.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,116.80 / $11,500.00 / $16,394.00	Facility		$6,116.80	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,065.64 / $12,159.92 / $14,079.98	Professional		$12,065.64	$12,159.92	$14,079.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.26 / $2,001.75 / $3,045.40	Facility		$1,559.26	$2,001.75	$3,045.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.58 / $2,416.29 / $2,996.20	Professional		$2,013.58	$2,416.29	$2,996.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.23 / $2,064.01 / $2,799.98	Professional		$1,758.23	$2,064.01	$2,799.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.75 / $2,014.10 / $3,278.57	Facility		$1,569.75	$2,014.10	$3,278.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,652.78 / $2,231.10 / $3,390.62	Professional		$1,652.78	$2,231.10	$3,390.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.80 / $1,753.75 / $2,699.99	Professional		$1,283.80	$1,753.75	$2,699.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,374.82 / $1,559.26 / $2,168.63	Professional		$1,374.82	$1,559.26	$2,168.63