Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,580.00 / $11,139.00	Facility		$1,004.00	$3,580.00	$11,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.71 / $1,452.47 / $1,898.12	Professional		$1,135.71	$1,452.47	$1,898.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,615.33 / $14,212.05	Facility		$4,252.01	$7,615.33	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.63 / $1,449.36 / $2,008.65	Professional		$1,096.63	$1,449.36	$2,008.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,033.82 / $1,033.82 / $1,033.82	Facility		$1,033.82	$1,033.82	$1,033.82
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 $1,211.30 / $1,682.37 / $2,560.51	Professional		$1,211.30	$1,682.37	$2,560.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,098.92 / $26,542.00 / $26,542.00	Facility		$8,098.92	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,520.32 / $10,848.96 / $12,827.93	Professional		$8,520.32	$10,848.96	$12,827.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.71 / $1,568.37 / $2,993.09	Facility		$1,170.71	$1,568.37	$2,993.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.31 / $1,913.72 / $2,649.76	Professional		$1,503.31	$1,913.72	$2,649.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.60 / $1,439.60 / $1,439.60	Professional		$1,439.60	$1,439.60	$1,439.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,171.43 / $1,576.74 / $3,069.53	Facility		$1,171.43	$1,576.74	$3,069.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.06 / $1,737.24 / $2,860.67	Professional		$1,255.06	$1,737.24	$2,860.67
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 $1,149.79 / $1,555.59 / $2,533.73	Professional		$1,149.79	$1,555.59	$2,533.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,256.38 / $1,419.92 / $1,986.69	Professional		$1,256.38	$1,419.92	$1,986.69