Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,336.61 / $2,094.53	Professional		$976.48	$1,336.61	$2,094.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.46 / $4,690.59 / $9,745.44	Facility		$2,595.46	$4,690.59	$9,745.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.94 / $1,370.55 / $1,877.13	Professional		$1,106.94	$1,370.55	$1,877.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,074.05	Facility		$1,028.19	$1,028.19	$1,074.05
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 $1,090.83 / $1,454.11 / $2,010.62	Professional		$1,090.83	$1,454.11	$2,010.62
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 $8,803.44 / $9,126.08 / $9,999.00	Professional		$8,803.44	$9,126.08	$9,999.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.90 / $1,351.40 / $1,988.90	Facility		$1,095.90	$1,351.40	$1,988.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.18 / $1,754.96 / $5,306.00	Professional		$1,132.18	$1,754.96	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.09 / $1,315.86 / $2,691.54	Professional		$1,159.09	$1,315.86	$2,691.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.90 / $1,358.62 / $2,150.25	Facility		$1,095.90	$1,358.62	$2,150.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.10 / $1,469.83 / $2,263.73	Professional		$1,117.10	$1,469.83	$2,263.73
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 $876.14 / $1,177.25 / $1,704.28	Professional		$876.14	$1,177.25	$1,704.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $998.53 / $1,132.18 / $1,586.52	Professional		$998.53	$1,132.18	$1,586.52