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 $1,270.33 / $1,549.30 / $2,426.36	Professional		$1,270.33	$1,549.30	$2,426.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.73 / $2,574.28 / $8,400.51	Facility		$1,503.73	$2,574.28	$8,400.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.02 / $1,780.04 / $2,433.12	Professional		$1,401.02	$1,780.04	$2,433.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,357.11 / $1,390.22	Facility		$80.00	$1,357.11	$1,390.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.00 / $1,929.23 / $2,922.59	Professional		$1,395.00	$1,929.23	$2,922.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,752.15	Facility		$55.00	$55.00	$8,752.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,028.08 / $11,249.60 / $13,152.23	Professional		$11,028.08	$11,249.60	$13,152.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,146.70 / $1,588.76 / $2,557.26	Facility		$1,146.70	$1,588.76	$2,557.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,880.55 / $2,256.66 / $2,798.26	Professional		$1,880.55	$2,256.66	$2,798.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.22 / $1,795.73 / $2,657.93	Professional		$1,369.22	$1,795.73	$2,657.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.70 / $1,592.01 / $2,657.94	Facility		$1,146.70	$1,592.01	$2,657.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,461.29 / $2,049.33 / $3,152.81	Professional		$1,461.29	$2,049.33	$3,152.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.01 / $1,582.29 / $2,419.67	Professional		$1,192.01	$1,582.29	$2,419.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,283.99 / $1,461.29 / $2,022.30	Professional		$1,283.99	$1,461.29	$2,022.30