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 $1,041.80 / $1,483.94 / $2,286.88	Professional		$1,041.80	$1,483.94	$2,286.88
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 $1,222.80 / $1,514.00 / $2,073.60	Professional		$1,222.80	$1,514.00	$2,073.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,144.93 / $1,144.93 / $1,196.17	Facility		$1,144.93	$1,144.93	$1,196.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.25 / $2,476.25 / $2,557.19	Facility		$2,476.25	$2,476.25	$2,557.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.15 / $1,596.46 / $2,292.55	Professional		$1,236.15	$1,596.46	$2,292.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,409.35 / $26,542.00 / $26,542.00	Facility		$11,409.35	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,548.90 / $10,548.90 / $10,973.10	Professional		$10,548.90	$10,548.90	$10,973.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.61 / $1,521.72 / $2,407.50	Facility		$1,217.61	$1,521.72	$2,407.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.15 / $1,920.90 / $5,306.00	Professional		$1,236.15	$1,920.90	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.63 / $1,343.13 / $1,483.38	Professional		$1,231.63	$1,343.13	$1,483.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.61 / $1,543.92 / $2,544.65	Facility		$1,217.61	$1,543.92	$2,544.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,236.15 / $1,637.86 / $2,450.39	Professional		$1,236.15	$1,637.86	$2,450.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $1,304.64 / $1,898.48	Professional		$949.24	$1,304.64	$1,898.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,092.95 / $1,236.15 / $1,736.91	Professional		$1,092.95	$1,236.15	$1,736.91