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 $1,195.40 / $1,428.00 / $1,832.16	Professional		$1,195.40	$1,428.00	$1,832.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,904.91 / $7,033.27 / $14,968.83	Facility		$3,904.91	$7,033.27	$14,968.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,469.57 / $2,047.44	Professional		$1,153.09	$1,469.57	$2,047.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,085.40 / $1,085.40 / $1,085.40	Facility		$1,085.40	$1,085.40	$1,085.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,453.34 / $5,453.34 / $5,453.34	Facility		$5,453.34	$5,453.34	$5,453.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.88 / $1,651.42 / $2,656.51	Professional		$1,246.88	$1,651.42	$2,656.51
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 $8,972.48 / $9,287.68 / $10,449.45	Professional		$8,972.48	$9,287.68	$10,449.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.67 / $1,571.91 / $2,611.46	Facility		$1,204.67	$1,571.91	$2,611.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.58 / $1,848.45 / $2,174.65	Professional		$1,570.58	$1,848.45	$2,174.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.20 / $1,463.20 / $1,463.20	Professional		$1,463.20	$1,463.20	$1,463.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.67 / $1,600.87 / $3,035.76	Facility		$1,204.67	$1,600.87	$3,035.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,253.39 / $1,671.19 / $2,876.64	Professional		$1,253.39	$1,671.19	$2,876.64
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 $1,006.83 / $1,453.49 / $2,196.48	Professional		$1,006.83	$1,453.49	$2,196.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,031.10 / $1,168.72 / $1,632.37	Professional		$1,031.10	$1,168.72	$1,632.37