Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.28 / $3,849.00 / $13,004.00	Facility		$1,185.28	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.22 / $1,260.14 / $1,825.26	Professional		$1,146.22	$1,260.14	$1,825.26
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 $1,170.86 / $1,482.04 / $1,688.60	Professional		$1,170.86	$1,482.04	$1,688.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,119.20 / $1,119.20 / $1,119.20	Facility		$1,119.20	$1,119.20	$1,119.20
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 $1,251.45 / $1,644.49 / $2,565.05	Professional		$1,251.45	$1,644.49	$2,565.05
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 $9,059.28 / $9,347.52 / $10,578.00	Professional		$9,059.28	$9,347.52	$10,578.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.22 / $1,597.00 / $2,684.03	Facility		$1,187.22	$1,597.00	$2,684.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.40 / $1,868.25 / $2,197.94	Professional		$1,587.40	$1,868.25	$2,197.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.70 / $1,425.70 / $1,425.70	Professional		$1,425.70	$1,425.70	$1,425.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,187.22 / $1,616.88 / $3,070.12	Facility		$1,187.22	$1,616.88	$3,070.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.74 / $1,668.68 / $2,686.21	Professional		$1,257.74	$1,668.68	$2,686.21
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 $1,012.24 / $1,348.20 / $2,125.13	Professional		$1,012.24	$1,348.20	$2,125.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,042.16 / $1,177.58 / $1,651.14	Professional		$1,042.16	$1,177.58	$1,651.14