Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,224.00 / $11,453.00	Facility		$880.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $1,419.47 / $2,342.02	Professional		$1,254.01	$1,419.47	$2,342.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.46 / $9,511.29 / $17,826.21	Facility		$4,486.46	$9,511.29	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.01 / $1,898.73 / $3,270.29	Professional		$1,297.01	$1,898.73	$3,270.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,271.76 / $1,286.85	Facility		$80.00	$1,271.76	$1,286.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $1,562.12 / $1,562.12	Facility		$1,562.12	$1,562.12	$1,562.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.85 / $1,826.19 / $2,800.47	Professional		$1,335.85	$1,826.19	$2,800.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,136.47 / $19,913.50 / $26,542.00	Facility		$5,136.47	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,934.95 / $10,231.60 / $11,834.48	Professional		$9,934.95	$10,231.60	$11,834.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.48 / $1,743.16 / $2,668.07	Facility		$1,322.48	$1,743.16	$2,668.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.13 / $2,030.55 / $2,517.88	Professional		$1,692.13	$2,030.55	$2,517.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.80 / $1,866.80 / $1,866.80	Professional		$1,866.80	$1,866.80	$1,866.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,334.56 / $1,743.16 / $2,748.86	Facility		$1,334.56	$1,743.16	$2,748.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,384.51 / $1,887.27 / $2,880.63	Professional		$1,384.51	$1,887.27	$2,880.63
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 $1,087.02 / $1,456.04 / $2,337.39	Professional		$1,087.02	$1,456.04	$2,337.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,155.33 / $1,308.39 / $1,823.46	Professional		$1,155.33	$1,308.39	$1,823.46