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 $1,082.58 / $1,235.56 / $2,084.06	Professional		$1,082.58	$1,235.56	$2,084.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.66 / $2,106.48 / $9,914.37	Facility		$1,214.66	$2,106.48	$9,914.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.39 / $1,423.21 / $1,939.38	Professional		$1,124.39	$1,423.21	$1,939.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,088.42 / $1,112.35	Facility		$80.00	$1,088.42	$1,112.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.32 / $1,628.72 / $2,499.69	Professional		$1,216.32	$1,628.72	$2,499.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,776.90	Facility		$55.00	$55.00	$9,776.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,797.60 / $8,976.48 / $10,487.18	Professional		$8,797.60	$8,976.48	$10,487.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.57 / $1,547.09 / $2,313.78	Facility		$1,187.57	$1,547.09	$2,313.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.66 / $1,799.60 / $2,231.50	Professional		$1,499.66	$1,799.60	$2,231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $1,396.78 / $1,534.90	Professional		$1,283.96	$1,396.78	$1,534.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.57 / $1,551.58 / $2,452.38	Facility		$1,187.57	$1,551.58	$2,452.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,244.32 / $1,696.29 / $2,533.48	Professional		$1,244.32	$1,696.29	$2,533.48
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 $963.05 / $1,315.81 / $2,052.57	Professional		$963.05	$1,315.81	$2,052.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.93 / $1,164.28 / $1,613.39	Professional		$1,023.93	$1,164.28	$1,613.39