Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,751.90 / $3,324.46 / $5,407.33	Professional		$2,751.90	$3,324.46	$5,407.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.33 / $6,206.89 / $11,899.09	Facility		$2,539.33	$6,206.89	$11,899.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,593.34 / $3,505.77 / $5,111.93	Professional		$2,593.34	$3,505.77	$5,111.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,903.02 / $2,969.99	Facility		$80.00	$2,903.02	$2,969.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,714.84 / $3,714.84 / $3,714.84	Facility		$3,714.84	$3,714.84	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,144.77 / $4,298.39 / $6,333.51	Professional		$3,144.77	$4,298.39	$6,333.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $26,126.24	Facility		$55.00	$2,000.00	$26,126.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,510.32 / $24,103.04 / $28,035.08	Professional		$23,510.32	$24,103.04	$28,035.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,143.58 / $3,980.60 / $6,103.14	Facility		$3,143.58	$3,980.60	$6,103.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,008.54 / $4,810.25 / $5,964.70	Professional		$4,008.54	$4,810.25	$5,964.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,952.10 / $3,952.10 / $3,952.10	Professional		$3,952.10	$3,952.10	$3,952.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,145.32 / $4,018.54 / $6,344.57	Facility		$3,145.32	$4,018.54	$6,344.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,174.53 / $4,494.93 / $6,780.13	Professional		$3,174.53	$4,494.93	$6,780.13
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 $2,556.53 / $3,410.38 / $5,419.44	Professional		$2,556.53	$3,410.38	$5,419.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,736.93 / $3,113.18 / $4,311.68	Professional		$2,736.93	$3,113.18	$4,311.68