Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $2,673.00 / $7,542.00	Facility		$828.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.45 / $1,120.70 / $1,908.59	Professional		$950.45	$1,120.70	$1,908.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.49 / $8,318.61 / $16,416.84	Facility		$3,966.49	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.51 / $1,304.38 / $1,777.45	Professional		$1,030.51	$1,304.38	$1,777.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $992.12 / $1,015.88	Facility		$80.00	$992.12	$1,015.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.11 / $1,268.11 / $1,268.11	Facility		$1,268.11	$1,268.11	$1,268.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.24 / $1,540.82 / $2,320.56	Professional		$1,144.24	$1,540.82	$2,320.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,220.55 / $16,394.00 / $18,766.91	Facility		$5,220.55	$16,394.00	$18,766.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,049.20 / $8,216.16 / $9,596.18	Professional		$8,049.20	$8,216.16	$9,596.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.71 / $1,383.86 / $2,203.96	Facility		$1,062.71	$1,383.86	$2,203.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.30 / $1,646.76 / $2,041.98	Professional		$1,372.30	$1,646.76	$2,041.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.64 / $1,311.89 / $1,923.94	Professional		$1,184.64	$1,311.89	$1,923.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $1,386.13 / $2,255.69	Facility		$1,066.25	$1,386.13	$2,255.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,152.31 / $1,577.05 / $2,340.15	Professional		$1,152.31	$1,577.05	$2,340.15
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 $878.10 / $1,221.13 / $1,945.85	Professional		$878.10	$1,221.13	$1,945.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $936.97 / $1,066.25 / $1,475.87	Professional		$936.97	$1,066.25	$1,475.87