Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.40 / $3,682.00 / $12,281.00	Facility		$939.40	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.55 / $1,011.78 / $1,706.98	Professional		$886.55	$1,011.78	$1,706.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,207.46 / $17,970.07 / $35,464.12	Facility		$8,207.46	$17,970.07	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.25 / $1,166.07 / $1,588.98	Professional		$921.25	$1,166.07	$1,588.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $895.91 / $914.20	Facility		$80.00	$895.91	$914.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,130.83 / $1,130.83	Facility		$1,130.83	$1,130.83	$1,130.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.60 / $1,347.56 / $2,045.05	Professional		$1,013.60	$1,347.56	$2,045.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,737.96 / $26,542.00 / $53,685.80	Facility		$3,737.96	$26,542.00	$53,685.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,522.99 / $7,771.25 / $8,596.50	Professional		$7,522.99	$7,771.25	$8,596.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.30 / $1,336.61 / $2,084.77	Facility		$978.30	$1,336.61	$2,084.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.16 / $1,475.00 / $1,828.99	Professional		$1,229.16	$1,475.00	$1,828.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.95 / $1,863.15 / $3,738.46	Professional		$1,601.95	$1,863.15	$3,738.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $978.30 / $1,345.27 / $2,194.69	Facility		$978.30	$1,345.27	$2,194.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.67 / $1,426.99 / $2,074.64	Professional		$1,020.67	$1,426.99	$2,074.64
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 $807.37 / $1,089.07 / $1,729.55	Professional		$807.37	$1,089.07	$1,729.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.24 / $953.62 / $1,322.72	Professional		$839.24	$953.62	$1,322.72