Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.42 / $1,551.34 / $2,452.88	Professional		$1,304.42	$1,551.34	$2,452.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,266.08 / $4,982.16 / $7,406.64	Facility		$1,266.08	$4,982.16	$7,406.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.04 / $1,810.08 / $2,466.56	Professional		$1,430.04	$1,810.08	$2,466.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,407.90 / $1,427.43	Facility		$80.00	$1,407.90	$1,427.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $1,736.96 / $1,736.96	Facility		$1,736.96	$1,736.96	$1,736.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.83 / $1,977.06 / $2,921.78	Professional		$1,484.83	$1,977.06	$2,921.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,733.28 / $11,500.00 / $26,542.00	Facility		$5,733.28	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,080.32 / $11,374.64 / $13,204.73	Professional		$11,080.32	$11,374.64	$13,204.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.99 / $1,725.89 / $2,693.36	Facility		$1,398.99	$1,725.89	$2,693.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.83 / $2,265.39 / $2,809.08	Professional		$1,887.83	$2,265.39	$2,809.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.80 / $1,715.80 / $1,715.80	Professional		$1,715.80	$1,715.80	$1,715.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.07 / $1,731.82 / $2,858.60	Facility		$1,400.07	$1,731.82	$2,858.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,539.93 / $2,046.78 / $3,117.91	Professional		$1,539.93	$2,046.78	$3,117.91
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,580.00 / $2,496.40	Professional		$1,185.00	$1,580.00	$2,496.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.96 / $1,460.89 / $2,033.57	Professional		$1,288.96	$1,460.89	$2,033.57