Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,213.00 / $11,453.00	Facility		$803.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.11 / $877.19 / $1,411.57	Professional		$721.11	$877.19	$1,411.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.52 / $1,660.77 / $3,172.92	Facility		$791.52	$1,660.77	$3,172.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.14 / $1,045.69 / $1,424.94	Professional		$826.14	$1,045.69	$1,424.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $908.74 / $934.74	Facility		$80.00	$908.74	$934.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.10 / $1,021.10 / $1,021.10	Facility		$1,021.10	$1,021.10	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.39 / $1,134.24 / $1,711.00	Professional		$831.39	$1,134.24	$1,711.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,112.08	Facility		$55.00	$55.00	$6,112.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,284.16 / $6,408.24 / $8,010.45	Professional		$6,284.16	$6,408.24	$8,010.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $763.53 / $943.94 / $1,535.64	Facility		$763.53	$943.94	$1,535.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.89 / $1,331.87 / $1,651.51	Professional		$1,109.89	$1,331.87	$1,651.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $773.10 / $1,047.66 / $1,138.22	Professional		$773.10	$1,047.66	$1,138.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.53 / $946.48 / $1,610.30	Facility		$763.53	$946.48	$1,610.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.89 / $1,159.46 / $1,786.85	Professional		$848.89	$1,159.46	$1,786.85
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.01 / $909.35 / $1,410.39	Professional		$682.01	$909.35	$1,410.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $855.50 / $1,185.33	Professional		$757.80	$855.50	$1,185.33