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 $1,119.22 / $1,355.00 / $2,240.53	Professional		$1,119.22	$1,355.00	$2,240.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.49 / $3,663.85 / $7,118.99	Facility		$1,901.49	$3,663.85	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.11 / $1,559.57 / $2,125.19	Professional		$1,232.11	$1,559.57	$2,125.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,261.24 / $1,291.77	Facility		$80.00	$1,261.24	$1,291.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.43 / $1,614.43 / $1,614.43	Facility		$1,614.43	$1,614.43	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.24 / $1,725.38 / $2,715.80	Professional		$1,270.24	$1,725.38	$2,715.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $18,263.52 / $26,542.00	Facility		$11,500.00	$18,263.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,054.14 / $11,054.14 / $12,220.65	Professional		$11,054.14	$11,054.14	$12,220.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,107.16 / $1,493.69 / $2,653.50	Facility		$1,107.16	$1,493.69	$2,653.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.53 / $2,097.03 / $2,600.32	Professional		$1,747.53	$2,097.03	$2,600.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.00 / $1,658.34 / $2,288.44	Professional		$1,490.00	$1,658.34	$2,288.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.59 / $1,494.03 / $2,765.82	Facility		$1,107.59	$1,494.03	$2,765.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.67 / $1,804.87 / $2,794.61	Professional		$1,322.67	$1,804.87	$2,794.61
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 $1,045.13 / $1,395.95 / $2,184.96	Professional		$1,045.13	$1,395.95	$2,184.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,193.17 / $1,357.90 / $1,879.32	Professional		$1,193.17	$1,357.90	$1,879.32