Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.78 / $3,849.00 / $13,004.00	Facility		$1,158.78	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.19 / $1,231.97 / $1,783.57	Professional		$1,122.19	$1,231.97	$1,783.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,503.08	Facility		$4,122.95	$7,421.31	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.71 / $1,448.92 / $1,650.86	Professional		$1,144.71	$1,448.92	$1,650.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $1,095.49 / $1,095.49	Facility		$1,095.49	$1,095.49	$1,095.49
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 $1,223.27 / $1,605.70 / $2,494.48	Professional		$1,223.27	$1,605.70	$2,494.48
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 $8,853.76 / $9,133.36 / $10,342.28	Professional		$8,853.76	$9,133.36	$10,342.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.65 / $1,561.31 / $2,619.09	Facility		$1,154.65	$1,561.31	$2,619.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.67 / $1,826.19 / $2,148.46	Professional		$1,551.67	$1,826.19	$2,148.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.10 / $1,372.10 / $1,372.10	Professional		$1,372.10	$1,372.10	$1,372.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.65 / $1,575.71 / $2,991.93	Facility		$1,154.65	$1,575.71	$2,991.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,226.94 / $1,628.30 / $2,603.78	Professional		$1,226.94	$1,628.30	$2,603.78
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 $987.99 / $1,347.37 / $2,099.48	Professional		$987.99	$1,347.37	$2,099.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,018.69 / $1,150.69 / $1,614.07	Professional		$1,018.69	$1,150.69	$1,614.07