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 $1,060.20 / $1,528.39 / $2,356.21	Professional		$1,060.20	$1,528.39	$2,356.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $4,909.47 / $9,381.18	Facility		$2,828.92	$4,909.47	$9,381.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.40 / $1,560.56 / $2,137.36	Professional		$1,260.40	$1,560.56	$2,137.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,180.34 / $1,180.34 / $1,233.24	Facility		$1,180.34	$1,180.34	$1,233.24
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 $1,273.63 / $1,613.17 / $2,327.77	Professional		$1,273.63	$1,613.17	$2,327.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,348.90 / $26,542.00 / $26,542.00	Facility		$9,348.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,139.99 / $11,139.99 / $11,303.93	Professional		$11,139.99	$11,139.99	$11,303.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,234.79 / $1,560.27 / $2,455.87	Facility		$1,234.79	$1,560.27	$2,455.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.63 / $1,979.12 / $5,306.00	Professional		$1,273.63	$1,979.12	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.06 / $1,400.99 / $1,528.36	Professional		$1,269.06	$1,400.99	$1,528.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.79 / $1,579.19 / $2,522.90	Facility		$1,234.79	$1,579.19	$2,522.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,273.63 / $1,655.70 / $2,533.12	Professional		$1,273.63	$1,655.70	$2,533.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,405.00 / $10,600.00	Facility		$1,634.00	$4,405.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.44 / $1,319.92 / $1,915.36	Professional		$971.44	$1,319.92	$1,915.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,126.08 / $1,273.63 / $1,789.65	Professional		$1,126.08	$1,273.63	$1,789.65