Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $11,232.00	Facility		$969.00	$3,511.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.05 / $1,348.22 / $1,773.54	Professional		$1,076.05	$1,348.22	$1,773.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,687.97 / $7,275.80 / $14,309.06	Facility		$3,687.97	$7,275.80	$14,309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $1,389.80 / $1,979.20	Professional		$1,055.83	$1,389.80	$1,979.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,156.17 / $1,156.17 / $1,156.17	Facility		$1,156.17	$1,156.17	$1,156.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.23 / $1,489.56 / $2,186.21	Professional		$1,074.23	$1,489.56	$2,186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,780.08 / $9,086.08 / $10,384.58	Professional		$8,780.08	$9,086.08	$10,384.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.89 / $1,372.93 / $2,366.96	Facility		$1,082.89	$1,372.93	$2,366.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.30 / $1,822.23 / $2,143.80	Professional		$1,548.30	$1,822.23	$2,143.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.50 / $1,052.50 / $1,224.44	Professional		$1,052.50	$1,052.50	$1,224.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,082.89 / $1,393.58 / $2,599.59	Facility		$1,082.89	$1,393.58	$2,599.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,128.17 / $1,547.87 / $2,324.44	Professional		$1,128.17	$1,547.87	$2,324.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.42 / $1,235.20 / $1,968.89	Professional		$875.42	$1,235.20	$1,968.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,016.48 / $1,144.10 / $1,609.75	Professional		$1,016.48	$1,144.10	$1,609.75