Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,090.38 / $1,738.51	Professional		$926.25	$1,090.38	$1,738.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.63 / $7,592.88 / $14,891.13	Facility		$4,208.63	$7,592.88	$14,891.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.19 / $1,162.04 / $1,733.92	Professional		$889.19	$1,162.04	$1,733.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $959.65 / $973.85	Facility		$80.00	$959.65	$973.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $1,224.95	Facility		$1,224.95	$1,224.95	$1,224.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.52 / $1,442.38 / $2,122.69	Professional		$1,048.52	$1,442.38	$2,122.69
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 $10,050.27 / $10,050.27 / $10,050.27	Professional		$10,050.27	$10,050.27	$10,050.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.51 / $1,273.35 / $2,269.69	Facility		$1,013.51	$1,273.35	$2,269.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.46 / $1,597.76 / $1,981.22	Professional		$1,331.46	$1,597.76	$1,981.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,183.00 / $1,183.00	Professional		$1,183.00	$1,183.00	$1,183.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.93 / $1,279.84 / $2,451.67	Facility		$1,022.93	$1,279.84	$2,451.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,093.47 / $1,488.81 / $2,251.39	Professional		$1,093.47	$1,488.81	$2,251.39
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 $868.31 / $1,158.66 / $1,867.45	Professional		$868.31	$1,158.66	$1,867.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $909.09 / $1,032.33 / $1,435.00	Professional		$909.09	$1,032.33	$1,435.00