Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.73 / $1,589.63 / $2,529.94	Professional		$1,311.73	$1,589.63	$2,529.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.79 / $2,669.20 / $6,856.51	Facility		$1,591.79	$2,669.20	$6,856.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.75 / $1,880.60 / $2,562.65	Professional		$1,485.75	$1,880.60	$2,562.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,528.38 / $1,601.48	Facility		$80.00	$1,528.38	$1,601.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $3,603.00 / $6,702.00	Facility		$1,829.03	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.60 / $2,164.23 / $3,219.31	Professional		$1,601.60	$2,164.23	$3,219.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $16,247.34	Facility		$55.00	$5,000.00	$16,247.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,107.68 / $11,352.24 / $14,395.95	Professional		$11,107.68	$11,352.24	$14,395.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.55 / $1,888.25 / $3,102.00	Facility		$1,499.55	$1,888.25	$3,102.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.41 / $2,376.50 / $2,946.85	Professional		$1,980.41	$2,376.50	$2,946.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.95 / $2,686.57 / $5,888.17	Professional		$1,815.95	$2,686.57	$5,888.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,499.55 / $1,895.13 / $3,347.35	Facility		$1,499.55	$1,895.13	$3,347.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,612.57 / $2,231.57 / $3,288.70	Professional		$1,612.57	$2,231.57	$3,288.70
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.80 / $1,706.92 / $2,709.15	Professional		$1,262.80	$1,706.92	$2,709.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,352.18 / $1,533.30 / $2,105.96	Professional		$1,352.18	$1,533.30	$2,105.96