Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,729.00	Facility		$1,002.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $1,450.57 / $2,259.69	Professional		$1,049.38	$1,450.57	$2,259.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $4,909.47 / $9,349.91	Facility		$2,828.92	$4,909.47	$9,349.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,198.96 / $1,484.48 / $2,033.17	Professional		$1,198.96	$1,484.48	$2,033.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,117.58 / $1,117.58 / $1,167.49	Facility		$1,117.58	$1,117.58	$1,167.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.53 / $1,614.79 / $2,220.42	Professional		$1,224.53	$1,614.79	$2,220.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,497.04 / $9,849.44 / $10,810.43	Professional		$9,497.04	$9,849.44	$10,810.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.31 / $1,521.87 / $2,172.65	Facility		$1,194.31	$1,521.87	$2,172.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.46 / $1,895.18 / $5,306.00	Professional		$1,221.46	$1,895.18	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.46 / $1,311.10 / $1,422.26	Professional		$1,221.46	$1,311.10	$1,422.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.46 / $1,546.78 / $2,493.29	Facility		$1,221.46	$1,546.78	$2,493.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,221.46 / $1,620.73 / $2,460.42	Professional		$1,221.46	$1,620.73	$2,460.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $1,271.21 / $1,858.25	Professional		$958.50	$1,271.21	$1,858.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.32 / $1,221.46 / $1,713.37	Professional		$1,078.32	$1,221.46	$1,713.37