Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.62 / $3,620.00 / $12,480.00	Facility		$957.62	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.15 / $1,026.34 / $1,636.25	Professional		$882.15	$1,026.34	$1,636.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,955.98 / $7,324.30 / $14,648.60	Facility		$3,955.98	$7,324.30	$14,648.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.12 / $1,315.06 / $1,684.41	Professional		$955.12	$1,315.06	$1,684.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $888.16 / $888.81	Facility		$80.00	$888.16	$888.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.67 / $1,145.67 / $1,145.67	Facility		$1,145.67	$1,145.67	$1,145.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.89 / $1,266.72 / $1,916.29	Professional		$942.89	$1,266.72	$1,916.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,653.00 / $7,653.00 / $8,500.73	Professional		$7,653.00	$7,653.00	$8,500.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.50 / $1,168.10 / $1,968.00	Facility		$947.50	$1,168.10	$1,968.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.15 / $1,472.58 / $1,826.00	Professional		$1,227.15	$1,472.58	$1,826.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.70 / $1,015.70 / $1,015.70	Professional		$1,015.70	$1,015.70	$1,015.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.42 / $1,190.36 / $2,028.44	Facility		$949.42	$1,190.36	$2,028.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.80 / $1,302.42 / $2,005.59	Professional		$967.80	$1,302.42	$2,005.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $1,006.57 / $1,624.10	Professional		$748.82	$1,006.57	$1,624.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $837.87 / $947.50 / $1,327.23	Professional		$837.87	$947.50	$1,327.23