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 $1,460.25 / $1,782.15 / $2,800.70	Professional		$1,460.25	$1,782.15	$2,800.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.23 / $2,997.41 / $9,222.87	Facility		$1,739.23	$2,997.41	$9,222.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.65 / $1,995.45 / $2,798.91	Professional		$1,611.65	$1,995.45	$2,798.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,552.70 / $1,592.66	Facility		$80.00	$1,552.70	$1,592.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.59 / $2,237.19 / $3,354.69	Professional		$1,602.59	$2,237.19	$3,354.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,056.54	Facility		$55.00	$55.00	$10,056.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,673.12 / $12,931.52 / $15,118.88	Professional		$12,673.12	$12,931.52	$15,118.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.16 / $1,823.69 / $2,940.98	Facility		$1,280.16	$1,823.69	$2,940.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.55 / $2,593.86 / $3,216.39	Professional		$2,161.55	$2,593.86	$3,216.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.68 / $2,063.88 / $3,052.84	Professional		$1,565.68	$2,063.88	$3,052.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.16 / $1,828.87 / $3,052.84	Facility		$1,280.16	$1,828.87	$3,052.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,614.14 / $2,360.12 / $3,654.25	Professional		$1,614.14	$2,360.12	$3,654.25
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 $1,343.68 / $1,833.90 / $2,838.21	Professional		$1,343.68	$1,833.90	$2,838.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,475.85 / $1,680.56 / $2,323.90	Professional		$1,475.85	$1,680.56	$2,323.90