Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.33 / $1,397.77 / $1,839.06	Professional		$1,156.33	$1,397.77	$1,839.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,207.71 / $4,164.67 / $7,622.13	Facility		$2,207.71	$4,164.67	$7,622.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.79 / $1,468.01 / $1,672.62	Professional		$1,159.79	$1,468.01	$1,672.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,093.08 / $1,093.08 / $1,093.08	Facility		$1,093.08	$1,093.08	$1,093.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.97 / $1,680.90 / $2,600.73	Professional		$1,269.97	$1,680.90	$2,600.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,978.92 / $26,542.00 / $26,542.00	Facility		$9,978.92	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,023.68 / $9,298.40 / $10,512.23	Professional		$9,023.68	$9,298.40	$10,512.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.83 / $1,580.94 / $2,799.40	Facility		$1,217.83	$1,580.94	$2,799.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.84 / $1,859.35 / $2,187.46	Professional		$1,579.84	$1,859.35	$2,187.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.40 / $1,654.40 / $1,654.40	Professional		$1,654.40	$1,654.40	$1,654.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.83 / $1,622.28 / $3,078.72	Facility		$1,217.83	$1,622.28	$3,078.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.97 / $1,708.13 / $2,649.94	Professional		$1,269.97	$1,708.13	$2,649.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.84 / $1,411.92 / $2,216.66	Professional		$1,026.84	$1,411.92	$2,216.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,037.19 / $1,175.90 / $1,641.75	Professional		$1,037.19	$1,175.90	$1,641.75