Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.93 / $1,294.16 / $2,260.66	Professional		$1,133.93	$1,294.16	$2,260.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,841.12 / $17,851.06 / $34,924.07	Facility		$7,841.12	$17,851.06	$34,924.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.18 / $1,492.56 / $2,033.88	Professional		$1,179.18	$1,492.56	$2,033.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,148.96 / $1,172.74	Facility		$80.00	$1,148.96	$1,172.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $1,448.89 / $1,448.89	Facility		$1,448.89	$1,448.89	$1,448.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.30 / $1,699.54 / $2,620.13	Professional		$1,249.30	$1,699.54	$2,620.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $33,500.00 / $56,792.45	Facility		$1,800.00	$33,500.00	$56,792.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,256.00 / $9,423.28 / $11,014.13	Professional		$9,256.00	$9,423.28	$11,014.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.16 / $1,590.53 / $2,498.23	Facility		$1,230.16	$1,590.53	$2,498.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.88 / $1,889.85 / $2,343.41	Professional		$1,574.88	$1,889.85	$2,343.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.26 / $1,631.86 / $2,639.20	Professional		$1,216.26	$1,631.86	$2,639.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.16 / $1,618.63 / $2,593.11	Facility		$1,230.16	$1,618.63	$2,593.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,296.33 / $1,754.56 / $2,657.93	Professional		$1,296.33	$1,754.56	$2,657.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,333.00 / $16,000.00	Facility		$2,600.00	$7,333.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.69 / $1,398.61 / $2,205.84	Professional		$1,020.69	$1,398.61	$2,205.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.29 / $1,221.98 / $1,694.63	Professional		$1,075.29	$1,221.98	$1,694.63