Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.28 / $3,224.00 / $11,453.00	Facility		$889.28	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.43 / $1,067.34 / $1,710.19	Professional		$900.43	$1,067.34	$1,710.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,181.10 / $8,318.61 / $16,416.84	Facility		$4,181.10	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.19 / $1,243.21 / $1,694.10	Professional		$982.19	$1,243.21	$1,694.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,173.41 / $1,223.10	Facility		$80.00	$1,173.41	$1,223.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $1,223.35 / $1,223.35	Facility		$1,223.35	$1,223.35	$1,223.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.60 / $1,480.83 / $2,174.96	Professional		$1,092.60	$1,480.83	$2,174.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,062.46 / $17,524.30 / $26,542.00	Facility		$6,062.46	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,686.16 / $7,842.88 / $9,351.29	Professional		$7,686.16	$7,842.88	$9,351.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.72 / $1,288.19 / $2,088.05	Facility		$1,001.72	$1,288.19	$2,088.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.59 / $1,589.51 / $1,970.99	Professional		$1,324.59	$1,589.51	$1,970.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.59 / $1,338.82 / $2,738.50	Professional		$1,174.59	$1,338.82	$2,738.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.31 / $1,298.51 / $2,138.73	Facility		$1,012.31	$1,298.51	$2,138.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,106.63 / $1,536.70 / $2,281.59	Professional		$1,106.63	$1,536.70	$2,281.59
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 $882.03 / $1,187.57 / $1,878.12	Professional		$882.03	$1,187.57	$1,878.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $904.40 / $1,028.19 / $1,420.75	Professional		$904.40	$1,028.19	$1,420.75