Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,504.00 / $10,836.00	Facility		$969.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.78 / $1,172.35 / $1,773.93	Professional		$1,035.78	$1,172.35	$1,773.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.07 / $3,934.00 / $7,901.00	Facility		$2,091.07	$3,934.00	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.30 / $1,363.60 / $1,899.80	Professional		$1,077.30	$1,363.60	$1,899.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,004.95 / $1,004.95 / $1,004.95	Facility		$1,004.95	$1,004.95	$1,004.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.97 / $1,600.07 / $2,450.58	Professional		$1,164.97	$1,600.07	$2,450.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,496.40	Facility		$55.00	$55.00	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,807.98 / $9,976.18 / $10,305.39	Professional		$9,807.98	$9,976.18	$10,305.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,089.41 / $1,467.26 / $2,483.09	Facility		$1,089.41	$1,467.26	$2,483.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.77 / $1,732.16 / $2,037.83	Professional		$1,471.77	$1,732.16	$2,037.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $1,608.10 / $1,608.10	Professional		$1,608.10	$1,608.10	$1,608.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.41 / $1,489.61 / $2,541.66	Facility		$1,089.41	$1,489.61	$2,541.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.97 / $1,649.66 / $2,504.10	Professional		$1,164.97	$1,649.66	$2,504.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.97 / $1,274.36 / $2,038.45	Professional		$926.97	$1,274.36	$2,038.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $966.24 / $1,104.05 / $1,523.69	Professional		$966.24	$1,104.05	$1,523.69