Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $11,453.00	Facility		$803.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $928.17 / $1,535.38	Professional		$813.25	$928.17	$1,535.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,991.69 / $7,130.28 / $14,939.63	Facility		$3,991.69	$7,130.28	$14,939.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.71 / $991.79 / $1,486.73	Professional		$745.71	$991.79	$1,486.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $805.99 / $818.71	Facility		$80.00	$805.99	$818.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.63 / $1,032.63 / $1,032.63	Facility		$1,032.63	$1,032.63	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.49 / $1,215.67 / $1,847.87	Professional		$884.49	$1,215.67	$1,847.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,385.95 / $8,385.95 / $8,385.95	Professional		$8,385.95	$8,385.95	$8,385.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.44 / $1,131.79 / $1,985.09	Facility		$875.44	$1,131.79	$1,985.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.43 / $1,346.91 / $1,670.17	Professional		$1,122.43	$1,346.91	$1,670.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,083.00 / $1,083.00	Professional		$1,083.00	$1,083.00	$1,083.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.97 / $1,141.55 / $2,013.95	Facility		$883.97	$1,141.55	$2,013.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.63 / $1,254.48 / $1,910.16	Professional		$922.63	$1,254.48	$1,910.16
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 $719.18 / $972.51 / $1,506.72	Professional		$719.18	$972.51	$1,506.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $766.36 / $870.61 / $1,209.56	Professional		$766.36	$870.61	$1,209.56