Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $13,401.00	Facility		$969.00	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.70 / $873.89 / $1,422.36	Professional		$765.70	$873.89	$1,422.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.24 / $7,566.83 / $14,745.61	Facility		$4,165.24	$7,566.83	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.17 / $917.92 / $1,376.00	Professional		$690.17	$917.92	$1,376.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $751.10 / $760.21	Facility		$80.00	$751.10	$760.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $953.80 / $953.80	Facility		$953.80	$953.80	$953.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.08 / $1,142.72 / $1,737.00	Professional		$835.08	$1,142.72	$1,737.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,254.80 / $16,547.20 / $26,542.00	Facility		$6,254.80	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,243.52 / $13,243.52 / $13,243.52	Professional		$13,243.52	$13,243.52	$13,243.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.81 / $1,098.96 / $1,753.90	Facility		$824.81	$1,098.96	$1,753.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.28 / $1,241.13 / $1,539.00	Professional		$1,034.28	$1,241.13	$1,539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.70 / $1,183.70 / $1,183.70	Professional		$1,183.70	$1,183.70	$1,183.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.81 / $1,099.99 / $1,989.52	Facility		$824.81	$1,099.99	$1,989.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.71 / $1,190.55 / $1,794.34	Professional		$851.71	$1,190.55	$1,794.34
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 $685.52 / $914.03 / $1,444.77	Professional		$685.52	$914.03	$1,444.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $706.18 / $804.43 / $1,119.66	Professional		$706.18	$804.43	$1,119.66