Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,869.00 / $13,004.00	Facility		$969.00	$3,869.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.86 / $856.19 / $1,430.26	Professional		$752.86	$856.19	$1,430.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,272.46 / $7,712.34 / $14,503.08	Facility		$4,272.46	$7,712.34	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.12 / $942.44 / $1,494.88	Professional		$778.12	$942.44	$1,494.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $745.20 / $756.54	Facility		$80.00	$745.20	$756.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $950.80	Facility		$950.80	$950.80	$950.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.43 / $1,123.49 / $1,700.50	Professional		$824.43	$1,123.49	$1,700.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,275.52 / $21,028.65 / $26,542.00	Facility		$6,275.52	$21,028.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,641.99 / $14,641.99 / $14,641.99	Professional		$14,641.99	$14,641.99	$14,641.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.55 / $1,010.53 / $1,764.12	Facility		$805.55	$1,010.53	$1,764.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.48 / $1,240.17 / $1,537.81	Professional		$1,033.48	$1,240.17	$1,537.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.09 / $1,075.09 / $1,075.09	Professional		$1,075.09	$1,075.09	$1,075.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.69 / $1,033.85 / $1,843.91	Facility		$811.69	$1,033.85	$1,843.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.44 / $1,162.53 / $1,761.86	Professional		$859.44	$1,162.53	$1,761.86
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 $660.44 / $910.63 / $1,420.39	Professional		$660.44	$910.63	$1,420.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.63 / $801.46 / $1,113.86	Professional		$705.63	$801.46	$1,113.86