Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.64 / $812.20 / $1,372.61	Professional		$711.64	$812.20	$1,372.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,359.97 / $9,032.74 / $17,826.21	Facility		$4,359.97	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $937.38 / $1,277.34	Professional		$740.57	$937.38	$1,277.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $728.54 / $740.77	Facility		$80.00	$728.54	$740.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.62 / $910.62 / $910.62	Facility		$910.62	$910.62	$910.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.91 / $1,060.80 / $1,632.95	Professional		$789.91	$1,060.80	$1,632.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,511.82 / $19,913.50 / $26,542.00	Facility		$4,511.82	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,807.68 / $5,920.16 / $6,923.63	Professional		$5,807.68	$5,920.16	$6,923.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.43 / $996.87 / $1,550.80	Facility		$773.43	$996.87	$1,550.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $989.80 / $1,187.76 / $1,472.82	Professional		$989.80	$1,187.76	$1,472.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.89 / $1,027.90 / $1,324.27	Professional		$1,014.89	$1,027.90	$1,324.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.59 / $1,006.47 / $1,620.00	Facility		$773.59	$1,006.47	$1,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.41 / $1,097.59 / $1,665.40	Professional		$810.41	$1,097.59	$1,665.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $11,178.00	Facility		$1,634.00	$4,425.00	$11,178.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.32 / $860.48 / $1,372.38	Professional		$628.32	$860.48	$1,372.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.81 / $766.82 / $1,065.70	Professional		$675.81	$766.82	$1,065.70