Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,611.00 / $13,004.00	Facility		$983.00	$3,611.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.93 / $1,307.84 / $2,208.88	Professional		$1,145.93	$1,307.84	$2,208.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.80 / $2,208.71 / $9,631.00	Facility		$1,292.80	$2,208.71	$9,631.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.10 / $1,508.92 / $2,056.17	Professional		$1,192.10	$1,508.92	$2,056.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,152.58 / $1,178.75	Facility		$80.00	$1,152.58	$1,178.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.41 / $1,730.28 / $2,655.58	Professional		$1,284.41	$1,730.28	$2,655.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,357.90	Facility		$55.00	$55.00	$10,357.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,321.28 / $9,510.48 / $11,111.85	Professional		$9,321.28	$9,510.48	$11,111.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.11 / $1,631.43 / $2,556.59	Facility		$1,257.11	$1,631.43	$2,556.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.03 / $1,906.83 / $2,364.46	Professional		$1,589.03	$1,906.83	$2,364.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.30 / $1,648.30 / $2,890.06	Professional		$1,311.30	$1,648.30	$2,890.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.11 / $1,631.43 / $2,599.73	Facility		$1,257.11	$1,631.43	$2,599.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.23 / $1,802.35 / $2,701.24	Professional		$1,318.23	$1,802.35	$2,701.24
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 $1,013.94 / $1,351.92 / $2,170.05	Professional		$1,013.94	$1,351.92	$2,170.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,084.95 / $1,234.01 / $1,709.30	Professional		$1,084.95	$1,234.01	$1,709.30