Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,747.00 / $7,542.00	Facility		$803.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.04 / $1,176.00 / $2,002.31	Professional		$997.04	$1,176.00	$2,002.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.16 / $2,940.09 / $6,247.25	Facility		$1,702.16	$2,940.09	$6,247.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.69 / $1,328.91 / $1,863.99	Professional		$1,080.69	$1,328.91	$1,863.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,038.61 / $1,064.05	Facility		$80.00	$1,038.61	$1,064.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.16 / $1,619.08 / $2,333.73	Professional		$1,178.16	$1,619.08	$2,333.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,476.80 / $11,500.00 / $16,394.00	Facility		$5,476.80	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,440.64 / $8,617.68 / $10,067.40	Professional		$8,440.64	$8,617.68	$10,067.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.01 / $1,434.79 / $2,249.21	Facility		$1,115.01	$1,434.79	$2,249.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.43 / $1,727.31 / $2,141.86	Professional		$1,439.43	$1,727.31	$2,141.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.61 / $1,950.62 / $4,216.60	Professional		$1,253.61	$1,950.62	$4,216.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,118.60 / $1,436.37 / $2,358.06	Facility		$1,118.60	$1,436.37	$2,358.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,209.26 / $1,657.82 / $2,434.91	Professional		$1,209.26	$1,657.82	$2,434.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.10 / $1,228.13 / $1,994.37	Professional		$921.10	$1,228.13	$1,994.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,118.60 / $1,547.84	Professional		$982.80	$1,118.60	$1,547.84