Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,213.00 / $11,453.00	Facility		$867.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.58 / $1,515.99 / $2,205.29	Professional		$1,298.58	$1,515.99	$2,205.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,681.51 / $6,982.17 / $13,749.23	Facility		$3,681.51	$6,982.17	$13,749.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.99 / $1,504.89 / $2,746.29	Professional		$1,092.99	$1,504.89	$2,746.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,240.48 / $1,240.48 / $1,240.48	Facility		$1,240.48	$1,240.48	$1,240.48
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 $1,459.34 / $1,917.45 / $2,939.33	Professional		$1,459.34	$1,917.45	$2,939.33
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 $11,605.00 / $11,605.00 / $11,681.48	Professional		$11,605.00	$11,605.00	$11,681.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.88 / $1,899.17 / $3,133.28	Facility		$1,376.88	$1,899.17	$3,133.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.22 / $2,090.46 / $2,459.38	Professional		$1,776.22	$2,090.46	$2,459.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,214.50 / $2,214.50 / $2,214.50	Professional		$2,214.50	$2,214.50	$2,214.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,376.88 / $1,922.49 / $3,566.26	Facility		$1,376.88	$1,922.49	$3,566.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.14 / $1,950.74 / $3,204.28	Professional		$1,460.14	$1,950.74	$3,204.28
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 $1,181.14 / $1,625.56 / $2,571.94	Professional		$1,181.14	$1,625.56	$2,571.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,166.10 / $1,336.54 / $1,844.18	Professional		$1,166.10	$1,336.54	$1,844.18