Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,601.00 / $12,281.00	Facility		$1,017.00	$3,601.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $1,505.15 / $2,388.46	Professional		$1,162.16	$1,505.15	$2,388.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,658.00 / $4,909.47 / $9,318.64	Facility		$2,658.00	$4,909.47	$9,318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.01 / $1,547.69 / $2,170.85	Professional		$1,250.01	$1,547.69	$2,170.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,133.43 / $1,133.43 / $1,183.28	Facility		$1,133.43	$1,133.43	$1,183.28
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 $1,309.61 / $1,691.03 / $2,547.06	Professional		$1,309.61	$1,691.03	$2,547.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,981.88 / $26,542.00 / $26,542.00	Facility		$10,981.88	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,031.04 / $10,337.76 / $11,306.40	Professional		$10,031.04	$10,337.76	$11,306.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,324.22 / $1,647.91 / $2,439.73	Facility		$1,324.22	$1,647.91	$2,439.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.06 / $1,727.01 / $2,391.25	Professional		$1,291.06	$1,727.01	$2,391.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.81 / $1,600.51 / $3,150.26	Professional		$1,262.81	$1,600.51	$3,150.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,307.36 / $1,669.85 / $2,599.71	Facility		$1,307.36	$1,669.85	$2,599.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,292.43 / $1,747.79 / $2,647.63	Professional		$1,292.43	$1,747.79	$2,647.63
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 $1,064.42 / $1,419.22 / $2,105.84	Professional		$1,064.42	$1,419.22	$2,105.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,133.81 / $1,291.06 / $1,800.58	Professional		$1,133.81	$1,291.06	$1,800.58