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 $1,134.15 / $1,355.38 / $1,780.95	Professional		$1,134.15	$1,355.38	$1,780.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,691.51 / $8,100.39 / $17,572.09	Facility		$3,691.51	$8,100.39	$17,572.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.96 / $1,377.63 / $1,919.34	Professional		$1,080.96	$1,377.63	$1,919.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,021.16 / $1,021.16 / $1,021.16	Facility		$1,021.16	$1,021.16	$1,021.16
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 $1,168.28 / $1,561.63 / $2,501.64	Professional		$1,168.28	$1,561.63	$2,501.64
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 $8,408.79 / $8,708.71 / $9,803.33	Professional		$8,408.79	$8,708.71	$9,803.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.49 / $1,525.41 / $2,609.01	Facility		$1,139.49	$1,525.41	$2,609.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.60 / $1,733.14 / $2,038.99	Professional		$1,472.60	$1,733.14	$2,038.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.20 / $1,278.20 / $1,278.20	Professional		$1,278.20	$1,278.20	$1,278.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.49 / $1,562.36 / $3,027.63	Facility		$1,139.49	$1,562.36	$3,027.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.58 / $1,608.58 / $2,711.38	Professional		$1,182.58	$1,608.58	$2,711.38
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 $1,002.32 / $1,452.47 / $2,262.55	Professional		$1,002.32	$1,452.47	$2,262.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $966.79 / $1,094.98 / $1,530.74	Professional		$966.79	$1,094.98	$1,530.74