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 $1,191.19 / $1,426.56 / $1,865.56	Professional		$1,191.19	$1,426.56	$1,865.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,324.30 / $14,454.58	Facility		$4,122.95	$7,324.30	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.10 / $1,508.92 / $1,719.23	Professional		$1,192.10	$1,508.92	$1,719.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,133.24 / $1,133.24 / $1,133.24	Facility		$1,133.24	$1,133.24	$1,133.24
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 $1,274.58 / $1,684.98 / $2,547.55	Professional		$1,274.58	$1,684.98	$2,547.55
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 $9,251.36 / $9,540.16 / $10,800.08	Professional		$9,251.36	$9,540.16	$10,800.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.58 / $1,564.67 / $2,733.70	Facility		$1,203.58	$1,564.67	$2,733.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.05 / $1,907.85 / $2,244.53	Professional		$1,621.05	$1,907.85	$2,244.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.50 / $1,549.50 / $1,549.50	Professional		$1,549.50	$1,549.50	$1,549.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.58 / $1,616.59 / $2,999.68	Facility		$1,203.58	$1,616.59	$2,999.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,282.26 / $1,699.55 / $2,679.70	Professional		$1,282.26	$1,699.55	$2,679.70
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 $994.17 / $1,397.03 / $2,198.48	Professional		$994.17	$1,397.03	$2,198.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,064.24 / $1,203.58 / $1,685.64	Professional		$1,064.24	$1,203.58	$1,685.64