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 $1,077.60 / $1,229.88 / $2,080.41	Professional		$1,077.60	$1,229.88	$2,080.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.66 / $2,061.31 / $7,187.77	Facility		$1,214.66	$2,061.31	$7,187.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.35 / $1,378.50 / $1,933.54	Professional		$1,113.35	$1,378.50	$1,933.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,095.09 / $1,117.18	Facility		$80.00	$1,095.09	$1,117.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,378.21	Facility		$1,378.21	$1,378.21	$1,378.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.58 / $1,617.70 / $2,492.73	Professional		$1,201.58	$1,617.70	$2,492.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,979.10	Facility		$55.00	$55.00	$6,979.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,751.99 / $10,751.99 / $10,751.99	Professional		$10,751.99	$10,751.99	$10,751.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.51 / $1,505.39 / $2,516.67	Facility		$1,178.51	$1,505.39	$2,516.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.05 / $1,797.66 / $2,229.10	Professional		$1,498.05	$1,797.66	$2,229.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.92 / $1,472.80 / $2,728.24	Professional		$1,249.92	$1,472.80	$2,728.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,178.51 / $1,510.91 / $2,604.00	Facility		$1,178.51	$1,510.91	$2,604.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,242.99 / $1,658.20 / $2,524.25	Professional		$1,242.99	$1,658.20	$2,524.25
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 $973.74 / $1,306.79 / $2,044.43	Professional		$973.74	$1,306.79	$2,044.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,022.83 / $1,162.24 / $1,612.16	Professional		$1,022.83	$1,162.24	$1,612.16