Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.53 / $1,184.16 / $1,838.63	Professional		$916.53	$1,184.16	$1,838.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,494.29 / $9,331.84 / $18,267.75	Facility		$5,494.29	$9,331.84	$18,267.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.20 / $1,040.23 / $1,040.23	Professional		$884.20	$1,040.23	$1,040.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,815.05 / $7,815.05 / $7,815.05	Facility		$7,815.05	$7,815.05	$7,815.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.05 / $1,563.95 / $2,501.53	Professional		$1,126.05	$1,563.95	$2,501.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,913.50	Facility		$55.00	$55.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,440.64 / $9,721.68 / $11,313.60	Professional		$9,440.64	$9,721.68	$11,313.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.41 / $1,596.44 / $2,542.19	Facility		$1,074.41	$1,596.44	$2,542.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.90 / $5,478.00 / $10,096.00	Professional		$1,342.90	$5,478.00	$10,096.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.13 / $2,287.85 / $3,140.38	Professional		$1,916.13	$2,287.85	$3,140.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,072.13 / $1,635.35 / $2,797.91	Facility		$1,072.13	$1,635.35	$2,797.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.17 / $1,613.92 / $2,501.53	Professional		$1,150.17	$1,613.92	$2,501.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.99 / $1,081.64 / $1,838.79	Professional		$641.99	$1,081.64	$1,838.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,104.72 / $1,104.72 / $1,491.37	Professional		$1,104.72	$1,104.72	$1,491.37