Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $3,792.00 / $12,281.00	Facility		$1,267.00	$3,792.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.73 / $1,778.66 / $2,342.27	Professional		$1,472.73	$1,778.66	$2,342.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,469.82 / $14,454.58	Facility		$4,122.95	$7,469.82	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.83 / $1,601.69 / $2,552.04	Professional		$1,286.83	$1,601.69	$2,552.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,422.50 / $1,422.50 / $1,422.50	Facility		$1,422.50	$1,422.50	$1,422.50
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 $1,575.50 / $2,110.23 / $3,149.27	Professional		$1,575.50	$2,110.23	$3,149.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,587.45 / $11,748.16 / $13,514.55	Professional		$11,587.45	$11,748.16	$13,514.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.07 / $2,045.46 / $3,452.65	Facility		$1,551.07	$2,045.46	$3,452.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.16 / $2,374.04 / $2,792.99	Professional		$2,017.16	$2,374.04	$2,792.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.25 / $1,612.39 / $1,966.20	Professional		$1,508.25	$1,612.39	$1,966.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,551.07 / $2,096.11 / $4,078.98	Facility		$1,551.07	$2,096.11	$4,078.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,580.76 / $2,126.94 / $3,373.18	Professional		$1,580.76	$2,126.94	$3,373.18
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 $1,273.28 / $1,740.48 / $2,759.24	Professional		$1,273.28	$1,740.48	$2,759.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,324.30 / $1,501.08 / $2,091.83	Professional		$1,324.30	$1,501.08	$2,091.83