Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $3,849.00 / $13,004.00	Facility		$1,198.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.06 / $1,286.72 / $1,865.46	Professional		$1,172.06	$1,286.72	$1,865.46
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 $1,057.71 / $1,513.60 / $2,460.04	Professional		$1,057.71	$1,513.60	$2,460.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,141.91 / $1,141.91 / $1,141.91	Facility		$1,141.91	$1,141.91	$1,141.91
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 $1,283.45 / $1,683.22 / $2,638.92	Professional		$1,283.45	$1,683.22	$2,638.92
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 $9,256.00 / $9,546.16 / $10,807.28	Professional		$9,256.00	$9,546.16	$10,807.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.31 / $1,630.69 / $2,745.15	Facility		$1,221.31	$1,630.69	$2,745.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.88 / $1,908.83 / $2,245.67	Professional		$1,621.88	$1,908.83	$2,245.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.90 / $1,478.90 / $1,478.90	Professional		$1,478.90	$1,478.90	$1,478.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.31 / $1,676.05 / $3,192.89	Facility		$1,221.31	$1,676.05	$3,192.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,286.78 / $1,706.68 / $2,742.88	Professional		$1,286.78	$1,706.68	$2,742.88
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 $1,034.47 / $1,422.40 / $2,166.50	Professional		$1,034.47	$1,422.40	$2,166.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,064.79 / $1,203.52 / $1,686.84	Professional		$1,064.79	$1,203.52	$1,686.84