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 / $12,040.00	Facility		$1,002.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.85 / $1,470.57 / $1,946.30	Professional		$1,182.85	$1,470.57	$1,946.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,025.94 / $7,324.30 / $14,503.08	Facility		$4,025.94	$7,324.30	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.53 / $1,581.00 / $2,154.39	Professional		$1,240.53	$1,581.00	$2,154.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,249.21 / $1,249.21 / $1,249.21	Facility		$1,249.21	$1,249.21	$1,249.21
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 $1,260.08 / $1,676.78 / $2,444.71	Professional		$1,260.08	$1,676.78	$2,444.71
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 $9,575.12 / $9,896.71 / $11,325.15	Professional		$9,575.12	$9,896.71	$11,325.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.63 / $1,530.42 / $2,581.65	Facility		$1,191.63	$1,530.42	$2,581.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.75 / $1,987.53 / $2,338.27	Professional		$1,688.75	$1,987.53	$2,338.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.40 / $1,234.40 / $1,338.06	Professional		$1,234.40	$1,234.40	$1,338.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.63 / $1,562.87 / $3,105.39	Facility		$1,191.63	$1,562.87	$3,105.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,274.33 / $1,697.88 / $2,587.48	Professional		$1,274.33	$1,697.88	$2,587.48
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 $1,007.04 / $1,358.05 / $2,169.28	Professional		$1,007.04	$1,358.05	$2,169.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,108.69 / $1,249.41 / $1,754.97	Professional		$1,108.69	$1,249.41	$1,754.97