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 $991.20 / $1,402.52 / $1,697.15	Professional		$991.20	$1,402.52	$1,697.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.03 / $6,710.44 / $13,926.46	Facility		$3,585.03	$6,710.44	$13,926.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,223.38 / $1,223.38 / $1,223.38	Facility		$1,223.38	$1,223.38	$1,223.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.42 / $1,591.25 / $2,187.96	Professional		$1,102.42	$1,591.25	$2,187.96
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 $8,902.87 / $9,106.16 / $11,550.23	Professional		$8,902.87	$9,106.16	$11,550.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $1,460.97 / $2,875.65	Facility		$1,050.83	$1,460.97	$2,875.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,652.16 / $1,906.34 / $2,287.60	Professional		$1,652.16	$1,906.34	$2,287.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.40 / $1,399.91 / $1,414.95	Professional		$1,211.40	$1,399.91	$1,414.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $1,476.47 / $3,164.03	Facility		$1,050.83	$1,476.47	$3,164.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,131.83 / $1,626.96 / $2,580.88	Professional		$1,131.83	$1,626.96	$2,580.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,996.00 / $16,194.00	Facility		$2,614.00	$7,996.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.91 / $1,263.14 / $2,108.65	Professional		$907.91	$1,263.14	$2,108.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,084.67 / $1,230.39 / $1,688.97	Professional		$1,084.67	$1,230.39	$1,688.97