Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.18 / $3,682.00 / $12,826.00	Facility		$951.18	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.67 / $1,050.76 / $1,770.42	Professional		$920.67	$1,050.76	$1,770.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.46 / $9,092.56 / $18,185.13	Facility		$4,765.46	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.10 / $1,208.93 / $1,647.38	Professional		$955.10	$1,208.93	$1,647.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $909.39 / $926.09	Facility		$80.00	$909.39	$926.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,172.49	Facility		$1,172.49	$1,172.49	$1,172.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.89 / $1,381.53 / $2,125.42	Professional		$1,023.89	$1,381.53	$2,125.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,872.44 / $19,913.50 / $26,542.00	Facility		$3,872.44	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,502.96 / $7,652.32 / $8,885.25	Professional		$7,502.96	$7,652.32	$8,885.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $1,280.40 / $2,038.02	Facility		$989.06	$1,280.40	$2,038.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.45 / $1,529.34 / $1,896.38	Professional		$1,274.45	$1,529.34	$1,896.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.76 / $1,218.06 / $1,730.86	Professional		$1,094.76	$1,218.06	$1,730.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $1,285.15 / $2,076.69	Facility		$989.06	$1,285.15	$2,076.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.45 / $1,442.69 / $2,154.56	Professional		$1,057.45	$1,442.69	$2,154.56
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 $808.50 / $1,115.07 / $1,738.81	Professional		$808.50	$1,115.07	$1,738.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.16 / $989.06 / $1,372.64	Professional		$870.16	$989.06	$1,372.64