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 $1,125.93 / $1,351.57 / $1,756.60	Professional		$1,125.93	$1,351.57	$1,756.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,275.80 / $14,454.58	Facility		$4,122.95	$7,275.80	$14,454.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,055.07 / $1,055.07 / $1,055.07	Facility		$1,055.07	$1,055.07	$1,055.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,307.74 / $5,307.74 / $5,307.74	Facility		$5,307.74	$5,307.74	$5,307.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.97 / $1,568.77 / $2,434.29	Professional		$1,190.97	$1,568.77	$2,434.29
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 $8,702.64 / $9,013.76 / $10,137.68	Professional		$8,702.64	$9,013.76	$10,137.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.89 / $1,504.57 / $2,528.92	Facility		$1,137.89	$1,504.57	$2,528.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.48 / $1,793.02 / $2,109.44	Professional		$1,523.48	$1,793.02	$2,109.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.60 / $1,396.60 / $1,396.60	Professional		$1,396.60	$1,396.60	$1,396.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.89 / $1,523.00 / $2,843.76	Facility		$1,137.89	$1,523.00	$2,843.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,204.46 / $1,586.61 / $2,549.46	Professional		$1,204.46	$1,586.61	$2,549.46
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 $958.30 / $1,331.09 / $2,125.23	Professional		$958.30	$1,331.09	$2,125.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.19 / $1,133.29 / $1,583.56	Professional		$1,000.19	$1,133.29	$1,583.56