Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,730.00 / $12,941.00	Facility		$969.00	$3,730.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.36 / $1,327.28 / $2,006.27	Professional		$1,171.36	$1,327.28	$2,006.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.59 / $7,588.92 / $16,000.00	Facility		$3,238.59	$7,588.92	$16,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.30 / $1,490.22 / $2,076.21	Professional		$1,169.30	$1,490.22	$2,076.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,176.01 / $1,176.01 / $1,218.95	Facility		$1,176.01	$1,176.01	$1,218.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,371.00 / $14,561.00	Facility		$900.00	$4,371.00	$14,561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.39 / $1,696.24 / $2,613.98	Professional		$1,217.39	$1,696.24	$2,613.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,630.00 / $17,314.56	Facility		$55.00	$14,630.00	$17,314.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,854.73 / $9,854.73 / $11,047.88	Professional		$9,854.73	$9,854.73	$11,047.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.67 / $1,520.56 / $2,830.67	Facility		$1,216.67	$1,520.56	$2,830.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.98 / $1,911.81 / $2,324.16	Professional		$1,436.98	$1,911.81	$2,324.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.17 / $2,231.50 / $3,229.90	Professional		$1,121.17	$2,231.50	$3,229.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.83 / $1,529.83 / $2,902.96	Facility		$1,217.83	$1,529.83	$2,902.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.93 / $1,773.99 / $3,195.79	Professional		$1,269.93	$1,773.99	$3,195.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $7,441.00 / $22,758.00	Facility		$2,093.00	$7,441.00	$22,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.15 / $1,383.86 / $2,199.52	Professional		$1,018.15	$1,383.86	$2,199.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,066.45 / $1,239.33 / $1,672.25	Professional		$1,066.45	$1,239.33	$1,672.25