Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.99 / $3,849.00 / $13,004.00	Facility		$1,056.99	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.31 / $1,109.14 / $1,616.23	Professional		$1,006.31	$1,109.14	$1,616.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,454.58	Facility		$4,122.95	$7,421.31	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.52 / $1,309.45 / $1,491.95	Professional		$1,034.52	$1,309.45	$1,491.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $961.29 / $5,652.78 / $5,652.78	Facility		$961.29	$5,652.78	$5,652.78
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 $1,126.15 / $1,476.40 / $2,330.09	Professional		$1,126.15	$1,476.40	$2,330.09
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 $8,240.67 / $8,291.52 / $9,319.35	Professional		$8,240.67	$8,291.52	$9,319.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.21 / $1,439.02 / $2,418.92	Facility		$1,065.21	$1,439.02	$2,418.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.70 / $1,648.51 / $1,939.43	Professional		$1,400.70	$1,648.51	$1,939.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.50 / $1,469.50 / $1,469.50	Professional		$1,469.50	$1,469.50	$1,469.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,074.23 / $1,455.60 / $2,780.30	Facility		$1,074.23	$1,455.60	$2,780.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,503.66 / $2,393.29	Professional		$1,126.15	$1,503.66	$2,393.29
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 $911.48 / $1,255.09 / $1,984.75	Professional		$911.48	$1,255.09	$1,984.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $919.58 / $1,042.73 / $1,455.54	Professional		$919.58	$1,042.73	$1,455.54