Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,224.00 / $11,453.00	Facility		$803.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.69 / $902.90 / $1,469.36	Professional		$762.69	$902.90	$1,469.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.22 / $3,594.28 / $6,491.00	Facility		$1,623.22	$3,594.28	$6,491.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,036.73 / $1,412.73	Professional		$819.06	$1,036.73	$1,412.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $808.97 / $833.01	Facility		$80.00	$808.97	$833.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.15 / $1,181.13 / $1,799.02	Professional		$852.15	$1,181.13	$1,799.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,226.84 / $11,500.00 / $26,542.00	Facility		$3,226.84	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,898.32 / $6,898.32 / $7,468.50	Professional		$6,898.32	$6,898.32	$7,468.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.11 / $1,091.08 / $1,728.94	Facility		$834.11	$1,091.08	$1,728.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.93 / $1,268.31 / $1,572.70	Professional		$1,056.93	$1,268.31	$1,572.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $925.32 / $997.80 / $1,404.40	Professional		$925.32	$997.80	$1,404.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.96 / $1,096.10 / $1,821.93	Facility		$835.96	$1,096.10	$1,821.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.65 / $1,208.85 / $1,851.38	Professional		$874.65	$1,208.85	$1,851.38
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.28 / $927.09 / $1,462.61	Professional		$694.28	$927.09	$1,462.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.64 / $820.87 / $1,133.04	Professional		$721.64	$820.87	$1,133.04