Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,730.00 / $13,004.00	Facility		$975.00	$3,730.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.34 / $1,560.71 / $2,596.62	Professional		$717.34	$1,560.71	$2,596.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.63 / $7,615.33 / $14,939.63	Facility		$4,208.63	$7,615.33	$14,939.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $1,431.60 / $2,542.71	Professional		$694.09	$1,431.60	$2,542.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $678.77 / $683.56	Facility		$80.00	$678.77	$683.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.44 / $1,297.44 / $1,297.44	Facility		$1,297.44	$1,297.44	$1,297.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.46 / $1,796.28 / $3,511.13	Professional		$846.46	$1,796.28	$3,511.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,297.46 / $11,500.00 / $26,542.00	Facility		$5,297.46	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,351.00 / $12,605.52 / $14,669.85	Professional		$7,351.00	$12,605.52	$14,669.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $1,607.25 / $3,025.77	Facility		$749.31	$1,607.25	$3,025.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.31 / $1,948.82 / $3,050.33	Professional		$974.31	$1,948.82	$3,050.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $837.80 / $1,584.56 / $3,938.13	Professional		$837.80	$1,584.56	$3,938.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $1,630.52 / $3,051.24	Facility		$749.31	$1,630.52	$3,051.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.44 / $1,810.44 / $3,701.31	Professional		$857.44	$1,810.44	$3,701.31
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 $1,631.82 / $2,195.21 / $3,445.16	Professional		$1,631.82	$2,195.21	$3,445.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,446.32 / $1,621.82 / $2,299.28	Professional		$1,446.32	$1,621.82	$2,299.28