Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.71 / $1,152.23 / $1,691.44	Professional		$1,039.71	$1,152.23	$1,691.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,615.33 / $14,212.05	Facility		$4,252.01	$7,615.33	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.68 / $1,362.82 / $1,552.76	Professional		$1,076.68	$1,362.82	$1,552.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $995.48 / $995.48 / $995.48	Facility		$995.48	$995.48	$995.48
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 $1,178.55 / $1,544.35 / $2,455.44	Professional		$1,178.55	$1,544.35	$2,455.44
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 $9,614.37 / $9,614.37 / $9,717.75	Professional		$9,614.37	$9,614.37	$9,717.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.33 / $1,491.11 / $2,945.00	Facility		$1,122.33	$1,491.11	$2,945.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.51 / $1,721.27 / $2,025.02	Professional		$1,462.51	$1,721.27	$2,025.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.60 / $1,528.60 / $1,528.60	Professional		$1,528.60	$1,528.60	$1,528.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.33 / $1,548.53 / $3,001.63	Facility		$1,122.33	$1,548.53	$3,001.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,178.55 / $1,575.32 / $2,492.42	Professional		$1,178.55	$1,575.32	$2,492.42
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 $955.36 / $1,313.62 / $2,030.14	Professional		$955.36	$1,313.62	$2,030.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $960.16 / $1,091.25 / $1,518.95	Professional		$960.16	$1,091.25	$1,518.95