Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.30 / $3,682.00 / $12,826.00	Facility		$966.30	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.68 / $1,073.09 / $1,750.13	Professional		$942.68	$1,073.09	$1,750.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.30 / $1,726.26 / $6,266.86	Facility		$1,025.30	$1,726.26	$6,266.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.49 / $1,332.10 / $1,934.58	Professional		$967.49	$1,332.10	$1,934.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $915.71 / $920.93	Facility		$80.00	$915.71	$920.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $1,166.55 / $1,166.55	Facility		$1,166.55	$1,166.55	$1,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.58 / $1,362.38 / $2,114.92	Professional		$1,028.58	$1,362.38	$2,114.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,518.56	Facility		$55.00	$55.00	$9,518.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,228.59 / $10,228.59 / $10,228.59	Professional		$10,228.59	$10,228.59	$10,228.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.61 / $1,319.50 / $2,218.75	Facility		$1,001.61	$1,319.50	$2,218.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.99 / $1,521.59 / $1,886.77	Professional		$1,267.99	$1,521.59	$1,886.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.30 / $1,095.30 / $1,095.30	Professional		$1,095.30	$1,095.30	$1,095.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.10 / $1,335.24 / $2,271.08	Facility		$1,004.10	$1,335.24	$2,271.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.98 / $1,463.01 / $2,227.12	Professional		$1,047.98	$1,463.01	$2,227.12
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 $839.30 / $1,122.56 / $1,783.50	Professional		$839.30	$1,122.56	$1,783.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $865.75 / $981.97 / $1,370.25	Professional		$865.75	$981.97	$1,370.25