Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.23 / $3,620.00 / $12,941.00	Facility		$947.23	$3,620.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.68 / $1,025.34 / $1,734.62	Professional		$894.68	$1,025.34	$1,734.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.66 / $1,767.28 / $6,131.00	Facility		$1,049.66	$1,767.28	$6,131.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.62 / $1,020.09 / $1,613.41	Professional		$803.62	$1,020.09	$1,613.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $966.25 / $1,000.46	Facility		$80.00	$966.25	$1,000.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.19 / $1,164.19 / $1,164.19	Facility		$1,164.19	$1,164.19	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.13 / $1,399.25 / $2,123.00	Professional		$1,029.13	$1,399.25	$2,123.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,067.66	Facility		$55.00	$55.00	$16,067.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $11,477.92 / $11,477.92	Professional		$9,908.28	$11,477.92	$11,477.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.12 / $1,293.75 / $2,170.00	Facility		$985.12	$1,293.75	$2,170.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.51 / $1,491.02 / $1,848.86	Professional		$1,242.51	$1,491.02	$1,848.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.30 / $1,531.30 / $1,531.30	Professional		$1,531.30	$1,531.30	$1,531.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $985.12 / $1,298.70 / $2,245.31	Facility		$985.12	$1,298.70	$2,245.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,042.43 / $1,459.09 / $2,197.87	Professional		$1,042.43	$1,459.09	$2,197.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.58 / $1,129.18 / $1,781.29	Professional		$841.58	$1,129.18	$1,781.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $848.36 / $969.06 / $1,329.91	Professional		$848.36	$969.06	$1,329.91