Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.00 / $3,849.00 / $13,004.00	Facility		$1,228.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,439.60 / $1,584.79 / $2,309.73	Professional		$1,439.60	$1,584.79	$2,309.73
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 $1,474.67 / $1,866.57 / $2,126.73	Professional		$1,474.67	$1,866.57	$2,126.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,391.50 / $1,391.50 / $1,391.50	Facility		$1,391.50	$1,391.50	$1,391.50
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 $1,589.89 / $2,087.89 / $3,195.79	Professional		$1,589.89	$2,087.89	$3,195.79
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 $11,440.40 / $11,786.72 / $13,327.73	Professional		$11,440.40	$11,786.72	$13,327.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.58 / $2,040.81 / $3,419.03	Facility		$1,511.58	$2,040.81	$3,419.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.86 / $2,357.21 / $2,773.19	Professional		$2,002.86	$2,357.21	$2,773.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,909.30 / $1,909.30 / $1,909.30	Professional		$1,909.30	$1,909.30	$1,909.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.58 / $2,102.30 / $4,002.26	Facility		$1,511.58	$2,102.30	$4,002.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,609.37 / $2,125.63 / $3,363.15	Professional		$1,609.37	$2,125.63	$3,363.15
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 $1,288.83 / $1,772.10 / $2,738.77	Professional		$1,288.83	$1,772.10	$2,738.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,314.91 / $1,490.15 / $2,081.69	Professional		$1,314.91	$1,490.15	$2,081.69