Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,826.00	Facility		$935.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.38 / $1,023.04 / $1,727.06	Professional		$896.38	$1,023.04	$1,727.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,959.56 / $24,238.04 / $48,316.62	Facility		$11,959.56	$24,238.04	$48,316.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.05 / $1,175.30 / $1,606.50	Professional		$925.05	$1,175.30	$1,606.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $906.92 / $925.31	Facility		$80.00	$906.92	$925.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $1,144.23	Facility		$1,144.23	$1,144.23	$1,144.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.20 / $1,342.52 / $2,065.41	Professional		$999.20	$1,342.52	$2,065.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,727.85 / $26,542.00 / $79,615.70	Facility		$4,727.85	$26,542.00	$79,615.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,438.56 / $8,699.85	Professional		$7,433.26	$7,438.56	$8,699.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.14 / $1,277.21 / $2,075.94	Facility		$984.14	$1,277.21	$2,075.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.73 / $1,492.47 / $1,850.66	Professional		$1,243.73	$1,492.47	$1,850.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.00 / $1,685.38 / $1,757.79	Professional		$1,261.00	$1,685.38	$1,757.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.14 / $1,277.21 / $2,170.00	Facility		$984.14	$1,277.21	$2,170.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.61 / $1,401.64 / $2,100.78	Professional		$1,030.61	$1,401.64	$2,100.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,553.00 / $24,821.00	Facility		$4,600.00	$9,553.00	$24,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.10 / $1,079.15 / $1,747.19	Professional		$804.10	$1,079.15	$1,747.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $849.19 / $964.84 / $1,338.34	Professional		$849.19	$964.84	$1,338.34