Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $11,719.00	Facility		$797.00	$3,224.00	$11,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.09 / $874.17 / $1,371.62	Professional		$741.09	$874.17	$1,371.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.59 / $1,008.29 / $1,373.97	Professional		$796.59	$1,008.29	$1,373.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $777.83 / $793.10	Facility		$80.00	$777.83	$793.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Facility		$977.70	$977.70	$977.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.76 / $1,148.75 / $1,765.83	Professional		$856.76	$1,148.75	$1,765.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,845.96 / $25,239.65 / $26,542.00	Facility		$4,845.96	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,236.48 / $6,365.44 / $7,428.98	Professional		$6,236.48	$6,365.44	$7,428.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.67 / $1,099.55 / $1,667.07	Facility		$840.67	$1,099.55	$1,667.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.58 / $1,275.10 / $1,581.13	Professional		$1,062.58	$1,275.10	$1,581.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $1,441.27 / $1,503.86	Professional		$1,136.40	$1,441.27	$1,503.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.40 / $1,101.31 / $1,747.04	Facility		$841.40	$1,101.31	$1,747.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.39 / $1,195.23 / $1,792.46	Professional		$881.39	$1,195.23	$1,792.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.16 / $897.55 / $1,447.75	Professional		$673.16	$897.55	$1,447.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $725.51 / $824.19 / $1,143.68	Professional		$725.51	$824.19	$1,143.68