Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $3,849.00 / $13,004.00	Facility		$1,244.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.10 / $1,563.42 / $2,408.90	Professional		$1,424.10	$1,563.42	$2,408.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,121.85 / $7,421.31 / $14,454.58	Facility		$4,121.85	$7,421.31	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.20 / $1,838.13 / $2,504.79	Professional		$1,452.20	$1,838.13	$2,504.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,385.78 / $1,385.78 / $1,385.78	Facility		$1,385.78	$1,385.78	$1,385.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.22 / $2,038.61 / $3,107.82	Professional		$1,552.22	$2,038.61	$3,107.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,232.08 / $11,588.56 / $13,107.00	Professional		$11,232.08	$11,588.56	$13,107.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.44 / $1,948.44 / $3,327.34	Facility		$1,478.44	$1,948.44	$3,327.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,967.54 / $2,315.64 / $2,724.28	Professional		$1,967.54	$2,315.64	$2,724.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.40 / $1,717.40 / $1,717.40	Professional		$1,717.40	$1,717.40	$1,717.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,478.44 / $1,980.00 / $3,833.96	Facility		$1,478.44	$1,980.00	$3,833.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,559.18 / $2,068.63 / $3,298.48	Professional		$1,559.18	$2,068.63	$3,298.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.58 / $1,726.25 / $2,666.98	Professional		$1,258.58	$1,726.25	$2,666.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,291.72 / $1,459.94 / $2,046.56	Professional		$1,291.72	$1,459.94	$2,046.56