Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,224.00 / $11,453.00	Facility		$880.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $1,325.04 / $2,243.92	Professional		$1,122.58	$1,325.04	$2,243.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,352.12 / $8,538.96 / $16,416.84	Facility		$4,352.12	$8,538.96	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.04 / $1,536.12 / $2,099.71	Professional		$1,209.04	$1,536.12	$2,099.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,164.43 / $1,194.30	Facility		$80.00	$1,164.43	$1,194.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,498.38	Facility		$1,498.38	$1,498.38	$1,498.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.01 / $1,825.58 / $2,638.06	Professional		$1,338.01	$1,825.58	$2,638.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,930.12 / $17,524.30 / $26,542.00	Facility		$4,930.12	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,496.56 / $9,692.08 / $11,323.88	Professional		$9,496.56	$9,692.08	$11,323.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.98 / $1,580.36 / $2,524.41	Facility		$1,247.98	$1,580.36	$2,524.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.35 / $1,943.22 / $2,409.59	Professional		$1,619.35	$1,943.22	$2,409.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.38 / $1,536.16 / $2,270.92	Professional		$1,390.38	$1,536.16	$2,270.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,250.77 / $1,584.13 / $2,568.73	Facility		$1,250.77	$1,584.13	$2,568.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,361.25 / $1,863.34 / $2,780.27	Professional		$1,361.25	$1,863.34	$2,780.27
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 $1,039.38 / $1,436.55 / $2,227.04	Professional		$1,039.38	$1,436.55	$2,227.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,105.65 / $1,259.02 / $1,741.08	Professional		$1,105.65	$1,259.02	$1,741.08