Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,742.00 / $13,004.00	Facility		$969.00	$3,742.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.45 / $2,363.31 / $3,638.59	Professional		$633.45	$2,363.31	$3,638.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,734.91 / $7,421.31 / $14,454.58	Facility		$3,734.91	$7,421.31	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $2,007.86 / $4,061.19	Professional		$611.29	$2,007.86	$4,061.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $593.70 / $598.94	Facility		$80.00	$593.70	$598.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,144.52	Facility		$1,144.52	$1,144.52	$1,144.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.38 / $2,327.16 / $5,068.45	Professional		$754.38	$2,327.16	$5,068.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,658.46 / $11,500.00 / $26,542.00	Facility		$4,658.46	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,454.09 / $18,277.12 / $21,406.88	Professional		$9,454.09	$18,277.12	$21,406.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $1,637.32 / $4,355.60	Facility		$641.51	$1,637.32	$4,355.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $856.57 / $2,833.78 / $4,435.49	Professional		$856.57	$2,833.78	$4,435.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $902.80 / $902.80 / $902.80	Professional		$902.80	$902.80	$902.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $1,675.93 / $4,443.82	Facility		$641.51	$1,675.93	$4,443.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.06 / $2,489.94 / $5,318.52	Professional		$755.06	$2,489.94	$5,318.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,435.00 / $4,114.00 / $8,326.00	Facility		$1,435.00	$4,114.00	$8,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,301.62 / $3,068.83 / $4,859.45	Professional		$2,301.62	$3,068.83	$4,859.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,103.09 / $2,347.48 / $3,345.93	Professional		$2,103.09	$2,347.48	$3,345.93