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 $1,340.68 / $1,596.46 / $2,501.42	Professional		$1,340.68	$1,596.46	$2,501.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,572.77 / $2,799.86 / $15,009.88	Facility		$1,572.77	$2,799.86	$15,009.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.82 / $1,807.02 / $2,507.44	Professional		$1,443.82	$1,807.02	$2,507.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,394.38 / $1,429.00	Facility		$80.00	$1,394.38	$1,429.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.53 / $2,115.16 / $3,248.83	Professional		$1,565.53	$2,115.16	$3,248.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,615.19	Facility		$55.00	$55.00	$12,615.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,541.70 / $15,183.90 / $15,183.90	Professional		$13,541.70	$15,183.90	$15,183.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,471.87 / $1,806.04 / $2,926.18	Facility		$1,471.87	$1,806.04	$2,926.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.34 / $2,323.61 / $2,881.27	Professional		$1,936.34	$2,323.61	$2,881.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.53 / $1,793.32 / $2,055.00	Professional		$1,655.53	$1,793.32	$2,055.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,471.87 / $1,815.98 / $3,055.82	Facility		$1,471.87	$1,815.98	$3,055.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.75 / $2,166.23 / $3,289.36	Professional		$1,605.75	$2,166.23	$3,289.36
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 $1,242.54 / $1,711.82 / $2,625.46	Professional		$1,242.54	$1,711.82	$2,625.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,322.08 / $1,505.03 / $2,082.12	Professional		$1,322.08	$1,505.03	$2,082.12