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 / $12,281.00	Facility		$993.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.52 / $1,222.19 / $1,789.15	Professional		$1,063.52	$1,222.19	$1,789.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,716.24 / $6,706.32 / $14,480.52	Facility		$3,716.24	$6,706.32	$14,480.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.08 / $1,428.30 / $1,982.31	Professional		$1,124.08	$1,428.30	$1,982.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,050.30 / $1,050.30 / $1,050.30	Facility		$1,050.30	$1,050.30	$1,050.30
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 $1,223.58 / $1,675.51 / $2,547.85	Professional		$1,223.58	$1,675.51	$2,547.85
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 $8,747.12 / $9,012.79 / $10,239.98	Professional		$8,747.12	$9,012.79	$10,239.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.75 / $1,573.78 / $2,626.72	Facility		$1,177.75	$1,573.78	$2,626.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.94 / $1,808.86 / $2,128.07	Professional		$1,536.94	$1,808.86	$2,128.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.10 / $1,385.15 / $1,598.40	Professional		$1,254.10	$1,385.15	$1,598.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,177.75 / $1,579.83 / $3,133.78	Facility		$1,177.75	$1,579.83	$3,133.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.58 / $1,709.41 / $2,655.57	Professional		$1,223.58	$1,709.41	$2,655.57
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 $1,023.22 / $1,363.62 / $2,157.03	Professional		$1,023.22	$1,363.62	$2,157.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,009.02 / $1,154.29 / $1,590.50	Professional		$1,009.02	$1,154.29	$1,590.50