Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,620.00 / $12,040.00	Facility		$1,077.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.39 / $1,217.96 / $1,582.01	Professional		$1,016.39	$1,217.96	$1,582.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.42 / $7,013.00 / $14,968.83	Facility		$3,880.42	$7,013.00	$14,968.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,286.46 / $1,792.33	Professional		$1,016.36	$1,286.46	$1,792.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $955.99 / $955.99 / $955.99	Facility		$955.99	$955.99	$955.99
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 $1,063.72 / $1,396.88 / $2,132.61	Professional		$1,063.72	$1,396.88	$2,132.61
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 $7,843.76 / $8,127.20 / $9,147.90	Professional		$7,843.76	$8,127.20	$9,147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.65 / $1,335.94 / $2,263.06	Facility		$1,020.65	$1,335.94	$2,263.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.79 / $1,616.84 / $1,902.17	Professional		$1,373.79	$1,616.84	$1,902.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.50 / $1,126.50 / $1,126.50	Professional		$1,126.50	$1,126.50	$1,126.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,020.65 / $1,370.58 / $2,597.52	Facility		$1,020.65	$1,370.58	$2,597.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,065.76 / $1,409.29 / $2,298.71	Professional		$1,065.76	$1,409.29	$2,298.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.25 / $1,190.58 / $1,821.52	Professional		$852.25	$1,190.58	$1,821.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $901.91 / $1,020.65 / $1,428.39	Professional		$901.91	$1,020.65	$1,428.39