Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $2,244.00 / $7,513.00	Facility		$799.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.95 / $1,287.99 / $2,210.94	Professional		$1,100.95	$1,287.99	$2,210.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,911.40 / $8,318.61 / $16,692.30	Facility		$3,911.40	$8,318.61	$16,692.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.11 / $1,516.69 / $2,104.98	Professional		$1,242.11	$1,516.69	$2,104.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,141.65 / $1,171.02	Facility		$80.00	$1,141.65	$1,171.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Facility		$1,470.59	$1,470.59	$1,470.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.41 / $1,740.52 / $2,561.40	Professional		$1,301.41	$1,740.52	$2,561.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,045.90 / $12,000.00 / $17,524.30	Facility		$6,045.90	$12,000.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,045.50 / $10,045.50 / $11,109.38	Professional		$10,045.50	$10,045.50	$11,109.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.08 / $1,532.28 / $2,520.98	Facility		$1,187.08	$1,532.28	$2,520.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.61 / $1,906.34 / $2,363.86	Professional		$1,588.61	$1,906.34	$2,363.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.91 / $1,515.40 / $2,226.88	Professional		$1,363.91	$1,515.40	$2,226.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.08 / $1,550.52 / $2,604.32	Facility		$1,187.08	$1,550.52	$2,604.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $1,791.00 / $2,660.79	Professional		$1,333.60	$1,791.00	$2,660.79
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 $1,019.54 / $1,392.75 / $2,311.76	Professional		$1,019.54	$1,392.75	$2,311.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,084.67 / $1,235.17 / $1,707.99	Professional		$1,084.67	$1,235.17	$1,707.99