Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,495.00	Facility		$803.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.21 / $1,126.98 / $1,726.35	Professional		$1,019.21	$1,126.98	$1,726.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,180.09 / $3,703.80 / $7,524.82	Facility		$2,180.09	$3,703.80	$7,524.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.05 / $1,281.33 / $1,784.73	Professional		$1,012.05	$1,281.33	$1,784.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,025.28 / $1,025.28 / $1,036.98	Facility		$1,025.28	$1,025.28	$1,036.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $1,929.30 / $2,361.01	Facility		$1,512.62	$1,929.30	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.18 / $1,424.07 / $2,240.30	Professional		$975.18	$1,424.07	$2,240.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $16,394.00	Facility		$7,929.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,018.24 / $8,202.56 / $9,253.20	Professional		$8,018.24	$8,202.56	$9,253.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.21 / $1,240.99 / $2,240.48	Facility		$1,019.21	$1,240.99	$2,240.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.48 / $1,645.06 / $1,999.87	Professional		$1,236.48	$1,645.06	$1,999.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,426.30 / $2,790.40	Professional		$5.00	$1,426.30	$2,790.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,021.67 / $1,252.76 / $2,479.09	Facility		$1,021.67	$1,252.76	$2,479.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.03 / $1,509.77 / $2,718.55	Professional		$1,043.03	$1,509.77	$2,718.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.37 / $1,197.45 / $1,852.06	Professional		$865.37	$1,197.45	$1,852.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $917.65 / $1,073.11 / $1,451.44	Professional		$917.65	$1,073.11	$1,451.44