Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.45 / $825.67 / $1,394.32	Professional		$723.45	$825.67	$1,394.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,002.35 / $24,238.04 / $48,316.62	Facility		$12,002.35	$24,238.04	$48,316.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.03 / $950.62 / $1,295.40	Professional		$751.03	$950.62	$1,295.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $721.63 / $732.17	Facility		$80.00	$721.63	$732.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $924.75 / $924.75	Facility		$924.75	$924.75	$924.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.03 / $1,073.68 / $1,641.91	Professional		$792.03	$1,073.68	$1,641.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,051.84 / $26,542.00 / $83,807.64	Facility		$3,051.84	$26,542.00	$83,807.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,919.36 / $6,020.56 / $7,008.15	Professional		$5,919.36	$6,020.56	$7,008.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $785.82 / $1,007.53 / $1,597.92	Facility		$785.82	$1,007.53	$1,597.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.16 / $1,206.20 / $1,495.68	Professional		$1,005.16	$1,206.20	$1,495.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.65 / $960.85 / $1,363.16	Professional		$870.65	$960.85	$1,363.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.36 / $1,012.64 / $1,635.48	Facility		$786.36	$1,012.64	$1,635.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $811.94 / $1,107.76 / $1,681.27	Professional		$811.94	$1,107.76	$1,681.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $9,453.00 / $20,955.00	Facility		$4,604.00	$9,453.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.13 / $846.05 / $1,329.91	Professional		$630.13	$846.05	$1,329.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $686.30 / $778.95 / $1,083.25	Professional		$686.30	$778.95	$1,083.25