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 $1,209.36 / $1,427.41 / $2,328.35	Professional		$1,209.36	$1,427.41	$2,328.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,903.02 / $9,365.32 / $18,741.74	Facility		$4,903.02	$9,365.32	$18,741.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.23 / $1,659.70 / $2,261.63	Professional		$1,311.23	$1,659.70	$2,261.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,256.36 / $1,288.51	Facility		$80.00	$1,256.36	$1,288.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,616.23	Facility		$1,616.23	$1,616.23	$1,616.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.66 / $1,982.54 / $2,926.09	Professional		$1,465.66	$1,982.54	$2,926.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,318.08 / $17,524.30 / $26,542.00	Facility		$5,318.08	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,055.60 / $11,055.60 / $12,216.83	Professional		$11,055.60	$11,055.60	$12,216.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.11 / $1,746.24 / $2,806.46	Facility		$1,345.11	$1,746.24	$2,806.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.71 / $2,096.06 / $2,599.11	Professional		$1,746.71	$2,096.06	$2,599.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.16 / $1,656.86 / $2,446.55	Professional		$1,500.16	$1,656.86	$2,446.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,354.32 / $1,751.84 / $2,863.52	Facility		$1,354.32	$1,751.84	$2,863.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,468.47 / $2,029.51 / $3,027.08	Professional		$1,468.47	$2,029.51	$3,027.08
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 $1,195.58 / $1,591.37 / $2,540.60	Professional		$1,195.58	$1,591.37	$2,540.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,192.60 / $1,357.98 / $1,877.94	Professional		$1,192.60	$1,357.98	$1,877.94