Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,682.00 / $12,040.00	Facility		$1,093.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,516.35 / $2,165.00	Professional		$1,055.19	$1,516.35	$2,165.00
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 $1,158.30 / $1,434.14 / $1,964.22	Professional		$1,158.30	$1,434.14	$1,964.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,079.58 / $1,127.78	Facility		$1,079.58	$1,079.58	$1,127.78
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 $1,164.72 / $1,522.85 / $2,271.67	Professional		$1,164.72	$1,522.85	$2,271.67
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 $9,100.40 / $9,483.12 / $10,377.83	Professional		$9,100.40	$9,483.12	$10,377.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.44 / $1,516.35 / $2,196.79	Facility		$1,176.44	$1,516.35	$2,196.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.27 / $1,817.55 / $5,306.00	Professional		$1,170.27	$1,817.55	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.20 / $1,290.20 / $1,290.20	Professional		$1,290.20	$1,290.20	$1,290.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,176.44 / $1,521.35 / $2,429.92	Facility		$1,176.44	$1,521.35	$2,429.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.27 / $1,560.92 / $2,453.38	Professional		$1,170.27	$1,560.92	$2,453.38
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 $926.93 / $1,274.50 / $1,867.14	Professional		$926.93	$1,274.50	$1,867.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,034.15 / $1,170.27 / $1,643.34	Professional		$1,034.15	$1,170.27	$1,643.34