Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,596.00 / $12,281.00	Facility		$975.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.70 / $1,094.31 / $1,828.02	Professional		$939.70	$1,094.31	$1,828.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,241.93 / $8,318.61 / $16,416.84	Facility		$4,241.93	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.03 / $1,387.91 / $2,078.63	Professional		$1,008.03	$1,387.91	$2,078.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $927.07 / $938.81	Facility		$80.00	$927.07	$938.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.10 / $1,224.10 / $1,224.10	Facility		$1,224.10	$1,224.10	$1,224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.56 / $1,511.67 / $2,243.69	Professional		$1,118.56	$1,511.67	$2,243.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,975.34 / $22,211.50 / $26,542.00	Facility		$5,975.34	$22,211.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,817.68 / $8,063.68 / $9,073.65	Professional		$7,817.68	$8,063.68	$9,073.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,031.41 / $1,353.00 / $2,172.01	Facility		$1,031.41	$1,353.00	$2,172.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.08 / $1,576.89 / $1,955.34	Professional		$1,314.08	$1,576.89	$1,955.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.76 / $1,758.60 / $3,841.72	Professional		$1,123.76	$1,758.60	$3,841.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.89 / $1,363.38 / $2,299.86	Facility		$1,035.89	$1,363.38	$2,299.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,121.84 / $1,556.33 / $2,313.94	Professional		$1,121.84	$1,556.33	$2,313.94
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 $890.26 / $1,166.50 / $1,896.62	Professional		$890.26	$1,166.50	$1,896.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $1,021.24 / $1,418.84	Professional		$897.22	$1,021.24	$1,418.84