Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,620.00 / $12,377.00	Facility		$983.00	$3,620.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.01 / $1,204.80 / $2,065.92	Professional		$1,050.01	$1,204.80	$2,065.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.08 / $1,998.90 / $8,982.00	Facility		$1,170.08	$1,998.90	$8,982.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.46 / $1,366.33 / $1,861.87	Professional		$1,079.46	$1,366.33	$1,861.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,039.63 / $1,064.25	Facility		$80.00	$1,039.63	$1,064.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.95 / $1,568.98 / $2,418.62	Professional		$1,176.95	$1,568.98	$2,418.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,366.91	Facility		$55.00	$55.00	$9,366.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $8,589.84 / $10,052.48	Professional		$8,557.67	$8,589.84	$10,052.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.01 / $1,478.40 / $2,432.28	Facility		$1,141.01	$1,478.40	$2,432.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.40 / $1,724.88 / $2,138.85	Professional		$1,437.40	$1,724.88	$2,138.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.30 / $1,517.30 / $1,517.30	Professional		$1,517.30	$1,517.30	$1,517.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.18 / $1,484.77 / $2,480.00	Facility		$1,140.18	$1,484.77	$2,480.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,190.78 / $1,642.18 / $2,479.67	Professional		$1,190.78	$1,642.18	$2,479.67
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 $919.47 / $1,272.55 / $2,004.57	Professional		$919.47	$1,272.55	$2,004.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $981.42 / $1,116.72 / $1,545.90	Professional		$981.42	$1,116.72	$1,545.90