Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.57 / $766.31 / $1,298.05	Professional		$672.57	$766.31	$1,298.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,325.17 / $8,431.35	Facility		$2,491.08	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.86 / $882.05 / $1,201.96	Professional		$696.86	$882.05	$1,201.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $670.25 / $679.08	Facility		$80.00	$670.25	$679.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.51 / $861.51 / $861.51	Facility		$861.51	$861.51	$861.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.99 / $1,016.82 / $1,556.18	Professional		$768.99	$1,016.82	$1,556.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $11,500.00 / $26,542.00	Facility		$2,845.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,151.33 / $6,354.32 / $6,549.90	Professional		$6,151.33	$6,354.32	$6,549.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $744.01 / $1,016.82 / $1,573.26	Facility		$744.01	$1,016.82	$1,573.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $936.43 / $1,123.71 / $1,393.40	Professional		$936.43	$1,123.71	$1,393.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $821.14 / $1,244.44 / $2,712.96	Professional		$821.14	$1,244.44	$2,712.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.11 / $1,024.56 / $1,637.25	Facility		$745.11	$1,024.56	$1,637.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $775.04 / $1,078.00 / $1,602.90	Professional		$775.04	$1,078.00	$1,602.90
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 $608.32 / $808.78 / $1,297.01	Professional		$608.32	$808.78	$1,297.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.37 / $725.17 / $1,008.44	Professional		$639.37	$725.17	$1,008.44