Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $3,894.00 / $13,004.00	Facility		$1,244.00	$3,894.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.44 / $1,731.09 / $2,670.00	Professional		$1,281.44	$1,731.09	$2,670.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $4,940.75 / $9,349.91	Facility		$2,828.92	$4,940.75	$9,349.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,432.21 / $1,773.27 / $2,428.69	Professional		$1,432.21	$1,773.27	$2,428.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,326.99 / $1,326.99 / $1,385.69	Facility		$1,326.99	$1,326.99	$1,385.69
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 $1,466.75 / $1,895.29 / $2,718.46	Professional		$1,466.75	$1,895.29	$2,718.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,713.90 / $26,542.00 / $26,542.00	Facility		$10,713.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,376.48 / $11,778.64 / $12,925.80	Professional		$11,376.48	$11,778.64	$12,925.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,456.18 / $1,854.69 / $2,635.69	Facility		$1,456.18	$1,854.69	$2,635.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.44 / $2,268.30 / $5,306.00	Professional		$1,463.44	$2,268.30	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.10 / $1,572.30 / $1,700.55	Professional		$1,452.10	$1,572.30	$1,700.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,463.44 / $1,870.27 / $3,006.03	Facility		$1,463.44	$1,870.27	$3,006.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,463.44 / $1,967.63 / $2,966.86	Professional		$1,463.44	$1,967.63	$2,966.86
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 $1,154.65 / $1,518.86 / $2,276.31	Professional		$1,154.65	$1,518.86	$2,276.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,290.61 / $1,463.44 / $2,050.44	Professional		$1,290.61	$1,463.44	$2,050.44