Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.55 / $3,224.00 / $10,893.00	Facility		$808.55	$3,224.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.42 / $992.23 / $1,658.47	Professional		$876.42	$992.23	$1,658.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $9,331.84 / $18,364.59	Facility		$5,323.94	$9,331.84	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.70 / $1,133.74 / $1,544.92	Professional		$895.70	$1,133.74	$1,544.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $872.66 / $890.11	Facility		$80.00	$872.66	$890.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.84 / $1,098.84 / $1,098.84	Facility		$1,098.84	$1,098.84	$1,098.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.79 / $1,320.53 / $2,004.24	Professional		$985.79	$1,320.53	$2,004.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,631.60 / $25,239.65 / $26,542.00	Facility		$3,631.60	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,513.81 / $7,761.76 / $8,350.73	Professional		$7,513.81	$7,761.76	$8,350.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.71 / $1,328.00 / $2,080.73	Facility		$950.71	$1,328.00	$2,080.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.40 / $1,433.28 / $1,777.27	Professional		$1,194.40	$1,433.28	$1,777.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.68 / $1,654.99 / $3,548.57	Professional		$1,063.68	$1,654.99	$3,548.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.71 / $1,336.35 / $2,131.39	Facility		$950.71	$1,336.35	$2,131.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $991.57 / $1,389.78 / $2,031.12	Professional		$991.57	$1,389.78	$2,031.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.95 / $1,057.65 / $1,695.39	Professional		$786.95	$1,057.65	$1,695.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $926.52 / $1,285.50	Professional		$815.51	$926.52	$1,285.50