Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,596.00 / $12,281.00	Facility		$1,068.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.70 / $2,103.23 / $3,104.40	Professional		$1,887.70	$2,103.23	$3,104.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,099.39 / $7,421.31 / $15,521.70	Facility		$4,099.39	$7,421.31	$15,521.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,965.92 / $2,488.38 / $2,835.19	Professional		$1,965.92	$2,488.38	$2,835.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,804.13 / $1,804.13 / $1,804.13	Facility		$1,804.13	$1,804.13	$1,804.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,163.07 / $2,835.76 / $4,483.45	Professional		$2,163.07	$2,835.76	$4,483.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,965.00	Facility		$55.00	$55.00	$28,965.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,855.03 / $17,855.03 / $17,855.03	Professional		$17,855.03	$17,855.03	$17,855.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,055.16 / $2,739.62 / $4,950.00	Facility		$2,055.16	$2,739.62	$4,950.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,678.20 / $3,152.03 / $3,708.27	Professional		$2,678.20	$3,152.03	$3,708.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,733.80 / $2,733.80 / $2,733.80	Professional		$2,733.80	$2,733.80	$2,733.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,055.16 / $2,812.68 / $5,400.00	Facility		$2,055.16	$2,812.68	$5,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,166.36 / $2,876.83 / $4,540.83	Professional		$2,166.36	$2,876.83	$4,540.83
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 $1,756.84 / $2,413.84 / $3,733.29	Professional		$1,756.84	$2,413.84	$3,733.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,758.28 / $2,002.84 / $2,779.83	Professional		$1,758.28	$2,002.84	$2,779.83