Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,826.00	Facility		$935.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.74 / $1,039.43 / $1,693.41	Professional		$910.74	$1,039.43	$1,693.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,419.33 / $14,745.61	Facility		$4,122.95	$7,419.33	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.76 / $1,004.62 / $1,640.34	Professional		$794.76	$1,004.62	$1,640.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $901.67 / $910.08	Facility		$80.00	$901.67	$910.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.56 / $1,134.56 / $1,134.56	Facility		$1,134.56	$1,134.56	$1,134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.64 / $1,353.98 / $2,112.83	Professional		$1,001.64	$1,353.98	$2,112.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,590.68 / $16,547.20 / $26,542.00	Facility		$5,590.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,315.02 / $11,315.02 / $11,315.02	Professional		$11,315.02	$11,315.02	$11,315.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $983.86 / $1,282.02 / $2,096.16	Facility		$983.86	$1,282.02	$2,096.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.21 / $1,479.86 / $1,835.02	Professional		$1,233.21	$1,479.86	$1,835.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.30 / $1,250.30 / $1,250.30	Professional		$1,250.30	$1,250.30	$1,250.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.86 / $1,283.54 / $2,346.14	Facility		$983.86	$1,283.54	$2,346.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.02 / $1,412.14 / $2,138.87	Professional		$1,014.02	$1,412.14	$2,138.87
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 $810.88 / $1,106.51 / $1,723.10	Professional		$810.88	$1,106.51	$1,723.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $842.01 / $957.74 / $1,335.39	Professional		$842.01	$957.74	$1,335.39