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 $1,095.73 / $1,212.68 / $1,674.02	Professional		$1,095.73	$1,212.68	$1,674.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,342.98 / $6,389.75 / $12,610.23	Facility		$3,342.98	$6,389.75	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.02 / $1,320.35 / $1,839.55	Professional		$1,036.02	$1,320.35	$1,839.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $1,014.00 / $1,014.00	Facility		$1,014.00	$1,014.00	$1,014.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.92 / $1,540.01 / $2,348.69	Professional		$1,174.92	$1,540.01	$2,348.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,743.17 / $9,743.17 / $9,743.17	Professional		$9,743.17	$9,743.17	$9,743.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,134.77 / $1,492.65 / $2,552.63	Facility		$1,134.77	$1,492.65	$2,552.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.32 / $1,706.91 / $2,008.13	Professional		$1,450.32	$1,706.91	$2,008.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.60 / $1,432.60 / $1,432.60	Professional		$1,432.60	$1,432.60	$1,432.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.77 / $1,499.87 / $2,908.10	Facility		$1,134.77	$1,499.87	$2,908.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.92 / $1,570.49 / $2,419.89	Professional		$1,174.92	$1,570.49	$2,419.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $929.63 / $1,264.27 / $2,044.27	Professional		$929.63	$1,264.27	$2,044.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $952.16 / $1,091.04 / $1,505.82	Professional		$952.16	$1,091.04	$1,505.82