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 $1,328.65 / $1,477.53 / $2,310.83	Professional		$1,328.65	$1,477.53	$2,310.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.26 / $2,481.19 / $9,955.01	Facility		$1,464.26	$2,481.19	$9,955.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,344.78 / $1,702.16 / $2,319.50	Professional		$1,344.78	$1,702.16	$2,319.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,294.13 / $1,325.24	Facility		$80.00	$1,294.13	$1,325.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.40 / $1,656.40 / $1,656.40	Facility		$1,656.40	$1,656.40	$1,656.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.31 / $1,957.32 / $3,019.08	Professional		$1,471.31	$1,957.32	$3,019.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,682.23	Facility		$55.00	$55.00	$11,682.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,537.83 / $13,557.05 / $13,557.05	Professional		$12,537.83	$13,557.05	$13,557.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.09 / $1,836.54 / $2,926.18	Facility		$1,423.09	$1,836.54	$2,926.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.80 / $2,151.36 / $2,667.69	Professional		$1,792.80	$2,151.36	$2,667.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.32 / $1,663.33 / $1,876.10	Professional		$1,532.32	$1,663.33	$1,876.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.88 / $1,843.10 / $2,935.98	Facility		$1,420.88	$1,843.10	$2,935.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,487.27 / $2,052.63 / $3,091.04	Professional		$1,487.27	$2,052.63	$3,091.04
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 $1,148.48 / $1,543.58 / $2,502.03	Professional		$1,148.48	$1,543.58	$2,502.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,224.08 / $1,393.02 / $1,928.03	Professional		$1,224.08	$1,393.02	$1,928.03