Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.52 / $1,379.11 / $2,272.39	Professional		$1,151.52	$1,379.11	$2,272.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,389.06	Facility		$5,084.66	$9,092.56	$18,389.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.29 / $1,618.01 / $2,204.83	Professional		$1,278.29	$1,618.01	$2,204.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,252.45 / $5,836.19 / $5,836.19	Facility		$1,252.45	$5,836.19	$5,836.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $3,603.00 / $6,702.00	Facility		$1,570.90	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.77 / $1,904.65 / $2,877.57	Professional		$1,399.77	$1,904.65	$2,877.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $17,193.66 / $30,000.00	Facility		$5,897.00	$17,193.66	$30,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,948.48 / $10,948.48 / $12,090.75	Professional		$10,948.48	$10,948.48	$12,090.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.59 / $1,721.17 / $2,896.58	Facility		$1,316.59	$1,721.17	$2,896.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,696.58 / $2,035.89 / $2,524.50	Professional		$1,696.58	$2,035.89	$2,524.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.31 / $2,326.40 / $5,030.93	Professional		$1,544.31	$2,326.40	$5,030.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,316.59 / $1,730.08 / $3,086.89	Facility		$1,316.59	$1,730.08	$3,086.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,428.48 / $1,964.84 / $2,931.02	Professional		$1,428.48	$1,964.84	$2,931.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,400.00 / $16,000.00	Facility		$2,605.00	$7,400.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.08 / $1,497.08 / $2,449.76	Professional		$1,098.08	$1,497.08	$2,449.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,158.38 / $1,316.59 / $1,814.33	Professional		$1,158.38	$1,316.59	$1,814.33