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 $815.90 / $960.40 / $1,619.86	Professional		$815.90	$960.40	$1,619.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,204.30 / $9,272.02 / $17,945.84	Facility		$5,204.30	$9,272.02	$17,945.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.46 / $1,106.84 / $1,508.29	Professional		$874.46	$1,106.84	$1,508.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $849.90 / $867.79	Facility		$80.00	$849.90	$867.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $1,073.61	Facility		$1,073.61	$1,073.61	$1,073.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.30 / $1,264.93 / $1,966.28	Professional		$949.30	$1,264.93	$1,966.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,319.84 / $19,913.50 / $26,542.00	Facility		$5,319.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,841.92 / $6,982.16 / $8,153.93	Professional		$6,841.92	$6,982.16	$8,153.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.97 / $1,207.27 / $1,890.30	Facility		$922.97	$1,207.27	$1,890.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,399.31 / $1,735.14	Professional		$1,166.08	$1,399.31	$1,735.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $928.10 / $1,634.83 / $3,465.96	Professional		$928.10	$1,634.83	$3,465.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.05 / $1,210.20 / $1,955.94	Facility		$923.05	$1,210.20	$1,955.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.66 / $1,318.38 / $1,978.37	Professional		$967.66	$1,318.38	$1,978.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.92 / $1,017.08 / $1,616.28	Professional		$745.92	$1,017.08	$1,616.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.18 / $904.95 / $1,254.74	Professional		$796.18	$904.95	$1,254.74