Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,281.00	Facility		$1,004.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.29 / $1,513.56 / $2,179.60	Professional		$1,247.29	$1,513.56	$2,179.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,997.44 / $7,324.30 / $14,454.58	Facility		$3,997.44	$7,324.30	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.03 / $1,596.70 / $2,273.85	Professional		$1,213.03	$1,596.70	$2,273.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,311.52 / $1,311.52 / $1,311.52	Facility		$1,311.52	$1,311.52	$1,311.52
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 $1,281.60 / $1,753.53 / $2,592.00	Professional		$1,281.60	$1,753.53	$2,592.00
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 $10,116.40 / $10,448.87 / $11,963.48	Professional		$10,116.40	$10,448.87	$11,963.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.24 / $1,655.07 / $2,735.99	Facility		$1,277.24	$1,655.07	$2,735.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.20 / $2,099.86 / $2,470.42	Professional		$1,784.20	$2,099.86	$2,470.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.80 / $1,368.80 / $1,415.18	Professional		$1,368.80	$1,368.80	$1,415.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.24 / $1,702.13 / $3,175.11	Facility		$1,277.24	$1,702.13	$3,175.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,305.57 / $1,792.58 / $2,728.69	Professional		$1,305.57	$1,792.58	$2,728.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,438.53 / $2,357.96	Professional		$1,044.00	$1,438.53	$2,357.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,171.34 / $1,320.97 / $1,853.71	Professional		$1,171.34	$1,320.97	$1,853.71