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 $789.21 / $952.91 / $1,619.99	Professional		$789.21	$952.91	$1,619.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,379.92 / $8,403.96	Facility		$2,587.23	$4,379.92	$8,403.96
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 / $852.38 / $868.96	Facility		$80.00	$852.38	$868.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.55 / $1,073.55 / $1,073.55	Facility		$1,073.55	$1,073.55	$1,073.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.67 / $1,253.65 / $1,903.61	Professional		$919.67	$1,253.65	$1,903.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.04 / $11,500.00 / $26,542.00	Facility		$3,548.04	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,623.71 / $8,623.71 / $8,623.71	Professional		$8,623.71	$8,623.71	$8,623.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.53 / $1,196.46 / $1,973.13	Facility		$910.53	$1,196.46	$1,973.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.90 / $1,400.28 / $1,736.35	Professional		$1,166.90	$1,400.28	$1,736.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.28 / $1,251.08 / $1,636.27	Professional		$1,016.28	$1,251.08	$1,636.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.03 / $1,197.29 / $2,077.26	Facility		$914.03	$1,197.29	$2,077.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $953.94 / $1,287.11 / $1,955.59	Professional		$953.94	$1,287.11	$1,955.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.28 / $983.80 / $1,577.85	Professional		$736.28	$983.80	$1,577.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.73 / $905.02 / $1,255.85	Professional		$796.73	$905.02	$1,255.85