Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,294.74 / $2,017.90	Professional		$1,099.22	$1,294.74	$2,017.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,277.84 / $2,111.01 / $8,982.00	Facility		$1,277.84	$2,111.01	$8,982.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.74 / $1,437.17 / $2,015.83	Professional		$1,160.74	$1,437.17	$2,015.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,140.46 / $1,166.22	Facility		$80.00	$1,140.46	$1,166.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,449.04	Facility		$1,449.04	$1,449.04	$1,449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.96 / $1,701.78 / $2,618.12	Professional		$1,268.96	$1,701.78	$2,618.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,244.78	Facility		$55.00	$55.00	$10,244.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,990.43 / $11,680.42 / $11,680.42	Professional		$10,990.43	$11,680.42	$11,680.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.27 / $1,601.30 / $2,411.44	Facility		$1,243.27	$1,601.30	$2,411.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.64 / $1,885.97 / $2,338.60	Professional		$1,571.64	$1,885.97	$2,338.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.12 / $1,464.44 / $1,568.70	Professional		$1,346.12	$1,464.44	$1,568.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,243.27 / $1,601.30 / $2,564.92	Facility		$1,243.27	$1,601.30	$2,564.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.42 / $1,769.20 / $2,661.97	Professional		$1,303.42	$1,769.20	$2,661.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.71 / $1,381.18 / $2,150.37	Professional		$1,018.71	$1,381.18	$2,150.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,073.08 / $1,220.44 / $1,690.65	Professional		$1,073.08	$1,220.44	$1,690.65