Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.02 / $3,213.00 / $11,453.00	Facility		$794.02	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.08 / $871.79 / $1,502.37	Professional		$731.08	$871.79	$1,502.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,074.10 / $9,391.66 / $17,945.84	Facility		$5,074.10	$9,391.66	$17,945.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.97 / $1,012.57 / $1,379.81	Professional		$799.97	$1,012.57	$1,379.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $959.75 / $989.25	Facility		$80.00	$959.75	$989.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $3,603.00 / $6,702.00	Facility		$1,086.20	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,155.85 / $1,780.25	Professional		$876.00	$1,155.85	$1,780.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $17,132.00	Facility		$55.00	$2,000.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,677.68 / $6,810.80 / $8,527.58	Professional		$6,677.68	$6,810.80	$8,527.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.12 / $1,007.30 / $1,633.14	Facility		$817.12	$1,007.30	$1,633.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.65 / $1,416.78 / $1,756.81	Professional		$1,180.65	$1,416.78	$1,756.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $914.10 / $914.10 / $914.10	Professional		$914.10	$914.10	$914.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.12 / $1,013.59 / $1,698.52	Facility		$817.12	$1,013.59	$1,698.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.53 / $1,214.40 / $1,821.06	Professional		$910.53	$1,214.40	$1,821.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.72 / $935.22 / $1,468.78	Professional		$702.72	$935.22	$1,468.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.12 / $910.53 / $1,260.29	Professional		$806.12	$910.53	$1,260.29