Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.57 / $3,682.00 / $12,826.00	Facility		$985.57	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.97 / $1,202.90 / $2,023.74	Professional		$1,053.97	$1,202.90	$2,023.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.36 / $2,026.09 / $7,164.89	Facility		$1,199.36	$2,026.09	$7,164.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.92 / $1,384.64 / $1,886.82	Professional		$1,093.92	$1,384.64	$1,886.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,042.88 / $1,070.24	Facility		$80.00	$1,042.88	$1,070.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,346.78	Facility		$1,346.78	$1,346.78	$1,346.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.06 / $1,595.08 / $2,463.39	Professional		$1,203.06	$1,595.08	$2,463.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,764.50	Facility		$55.00	$55.00	$6,764.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,637.49 / $9,637.49 / $10,168.35	Professional		$9,637.49	$9,637.49	$10,168.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.86 / $1,561.60 / $2,464.04	Facility		$1,153.86	$1,561.60	$2,464.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.98 / $1,744.77 / $2,163.51	Professional		$1,453.98	$1,744.77	$2,163.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.28 / $2,011.20 / $4,277.43	Professional		$1,249.28	$2,011.20	$4,277.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,153.86 / $1,563.58 / $2,521.96	Facility		$1,153.86	$1,563.58	$2,521.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,221.74 / $1,675.28 / $2,521.15	Professional		$1,221.74	$1,675.28	$2,521.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.50 / $1,304.19 / $2,037.61	Professional		$961.50	$1,304.19	$2,037.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $992.74 / $1,130.58 / $1,563.15	Professional		$992.74	$1,130.58	$1,563.15