Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.16 / $3,224.00 / $11,453.00	Facility		$805.16	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.18 / $979.73 / $1,662.80	Professional		$870.18	$979.73	$1,662.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $9,451.48 / $17,826.21	Facility		$5,323.94	$9,451.48	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.70 / $1,128.67 / $1,538.02	Professional		$891.70	$1,128.67	$1,538.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $868.73 / $886.00	Facility		$80.00	$868.73	$886.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.64 / $1,323.08 / $2,056.48	Professional		$986.64	$1,323.08	$2,056.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,615.64 / $26,542.00 / $31,598.45	Facility		$3,615.64	$26,542.00	$31,598.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,314.73 / $8,630.24 / $8,915.04	Professional		$8,314.73	$8,630.24	$8,915.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.51 / $1,370.97 / $2,120.71	Facility		$946.51	$1,370.97	$2,120.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.14 / $1,426.97 / $1,769.44	Professional		$1,189.14	$1,426.97	$1,769.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.76 / $1,668.02 / $1,720.70	Professional		$1,324.76	$1,668.02	$1,720.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.51 / $1,373.89 / $2,132.98	Facility		$946.51	$1,373.89	$2,132.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.28 / $1,383.30 / $2,096.00	Professional		$995.28	$1,383.30	$2,096.00
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 $793.42 / $1,043.64 / $1,708.04	Professional		$793.42	$1,043.64	$1,708.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $922.40 / $1,279.81	Professional		$811.91	$922.40	$1,279.81