Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.60 / $1,231.26 / $1,745.35	Facility		$864.60	$1,231.26	$1,745.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.75 / $1,306.79 / $2,126.02	Professional		$975.75	$1,306.79	$2,126.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.82 / $1,105.45 / $4,090.88	Facility		$654.82	$1,105.45	$4,090.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.14 / $1,290.17 / $2,138.46	Professional		$935.14	$1,290.17	$2,138.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $902.34 / $916.78	Facility		$80.00	$902.34	$916.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.85 / $1,712.57 / $2,649.27	Professional		$1,156.85	$1,712.57	$2,649.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,178.93	Facility		$55.00	$55.00	$5,178.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,686.88 / $10,139.52 / $11,553.60	Professional		$7,686.88	$10,139.52	$11,553.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.88 / $1,652.46 / $2,492.55	Facility		$1,068.88	$1,652.46	$2,492.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.91 / $1,780.84 / $2,430.25	Professional		$1,322.91	$1,780.84	$2,430.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.70 / $1,818.70 / $1,818.70	Professional		$1,818.70	$1,818.70	$1,818.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.48 / $1,654.91 / $2,615.62	Facility		$1,070.48	$1,654.91	$2,615.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,159.74 / $1,831.30 / $2,781.45	Professional		$1,159.74	$1,831.30	$2,781.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,185.50 / $6,591.00 / $13,237.00	Facility		$2,185.50	$6,591.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.21 / $1,583.37 / $2,471.69	Professional		$1,168.21	$1,583.37	$2,471.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.30 / $1,309.51 / $1,828.37	Professional		$1,152.30	$1,309.51	$1,828.37