Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,792.00 / $13,401.00	Facility		$969.00	$3,792.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.70 / $1,025.34 / $1,593.92	Professional		$898.70	$1,025.34	$1,593.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.00 / $7,566.83 / $14,745.61	Facility		$4,149.00	$7,566.83	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.28 / $1,142.69 / $1,552.97	Professional		$903.28	$1,142.69	$1,552.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $875.76 / $891.67	Facility		$80.00	$875.76	$891.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.13 / $1,135.13 / $1,135.13	Facility		$1,135.13	$1,135.13	$1,135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $1,335.14 / $1,987.63	Professional		$968.36	$1,335.14	$1,987.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $13,960.05	Facility		$55.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,440.44 / $8,440.44 / $8,560.50	Professional		$8,440.44	$8,440.44	$8,560.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.65 / $1,177.51 / $1,905.68	Facility		$954.65	$1,177.51	$1,905.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.58 / $1,475.49 / $1,829.61	Professional		$1,229.58	$1,475.49	$1,829.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.09 / $1,109.09 / $1,109.09	Professional		$1,109.09	$1,109.09	$1,109.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.65 / $1,177.51 / $2,002.71	Facility		$954.65	$1,177.51	$2,002.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.63 / $1,358.78 / $2,099.82	Professional		$1,023.63	$1,358.78	$2,099.82
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 $794.30 / $1,062.97 / $1,666.21	Professional		$794.30	$1,062.97	$1,666.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $954.75 / $1,324.59	Professional		$839.52	$954.75	$1,324.59