Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.73 / $3,682.00 / $12,281.00	Facility		$1,087.73	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,321.19 / $2,206.06	Professional		$1,129.88	$1,321.19	$2,206.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,895.88 / $17,732.06 / $35,464.12	Facility		$7,895.88	$17,732.06	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.61 / $1,475.39 / $2,047.62	Professional		$1,191.61	$1,475.39	$2,047.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,176.81 / $1,196.48	Facility		$80.00	$1,176.81	$1,196.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.37 / $1,466.37 / $1,466.37	Facility		$1,466.37	$1,466.37	$1,466.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,709.52 / $2,565.08	Professional		$1,263.33	$1,709.52	$2,565.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,843.24 / $26,542.00 / $53,010.65	Facility		$4,843.24	$26,542.00	$53,010.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,355.04 / $9,568.56 / $11,145.83	Professional		$9,355.04	$9,568.56	$11,145.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.50 / $1,520.17 / $2,350.26	Facility		$1,204.50	$1,520.17	$2,350.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.88 / $1,912.65 / $2,371.69	Professional		$1,593.88	$1,912.65	$2,371.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.42 / $2,161.02 / $4,639.93	Professional		$1,418.42	$2,161.02	$4,639.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.33 / $1,535.12 / $2,481.82	Facility		$1,213.33	$1,535.12	$2,481.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,284.94 / $1,753.27 / $2,642.92	Professional		$1,284.94	$1,753.27	$2,642.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.19 / $1,346.58 / $2,115.48	Professional		$1,004.19	$1,346.58	$2,115.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,088.26 / $1,234.86 / $1,716.23	Professional		$1,088.26	$1,234.86	$1,716.23