Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,377.00	Facility		$993.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.92 / $1,248.50 / $1,910.27	Professional		$1,090.92	$1,248.50	$1,910.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.67 / $6,749.03 / $14,138.80	Facility		$3,801.67	$6,749.03	$14,138.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.78 / $1,361.07 / $2,025.19	Professional		$1,015.78	$1,361.07	$2,025.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,073.00 / $1,073.00 / $1,073.00	Facility		$1,073.00	$1,073.00	$1,073.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.00 / $5,065.00 / $5,065.00	Facility		$5,065.00	$5,065.00	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.18 / $1,713.80 / $2,605.34	Professional		$1,250.18	$1,713.80	$2,605.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,936.87 / $9,209.36 / $10,460.48	Professional		$8,936.87	$9,209.36	$10,460.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.22 / $1,609.47 / $2,719.94	Facility		$1,203.22	$1,609.47	$2,719.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.17 / $1,847.96 / $2,174.08	Professional		$1,570.17	$1,847.96	$2,174.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.20 / $1,398.16 / $1,521.30	Professional		$1,281.20	$1,398.16	$1,521.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.22 / $1,628.27 / $3,201.57	Facility		$1,203.22	$1,628.27	$3,201.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.07 / $1,749.53 / $2,721.50	Professional		$1,255.07	$1,749.53	$2,721.50
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 $1,046.59 / $1,409.95 / $2,197.27	Professional		$1,046.59	$1,409.95	$2,197.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,030.83 / $1,179.32 / $1,624.87	Professional		$1,030.83	$1,179.32	$1,624.87