Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $3,730.00 / $12,826.00	Facility		$942.00	$3,730.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.63 / $971.88 / $1,642.79	Professional		$799.63	$971.88	$1,642.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,081.32 / $9,152.37 / $18,723.50	Facility		$5,081.32	$9,152.37	$18,723.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.16 / $1,121.66 / $1,528.46	Professional		$886.16	$1,121.66	$1,528.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $871.78 / $9,905.61 / $9,905.61	Facility		$871.78	$9,905.61	$9,905.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.54 / $1,089.54 / $1,089.54	Facility		$1,089.54	$1,089.54	$1,089.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.83 / $1,287.02 / $1,959.02	Professional		$972.83	$1,287.02	$1,959.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,599.00 / $26,542.00 / $27,124.45	Facility		$3,599.00	$26,542.00	$27,124.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,951.76 / $7,090.40 / $8,280.45	Professional		$6,951.76	$7,090.40	$8,280.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $938.29 / $1,258.48 / $1,936.41	Facility		$938.29	$1,258.48	$1,936.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.29 / $1,421.15 / $1,762.22	Professional		$1,184.29	$1,421.15	$1,762.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $953.85 / $1,576.03 / $3,453.99	Professional		$953.85	$1,576.03	$3,453.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.29 / $1,265.08 / $2,058.92	Facility		$938.29	$1,265.08	$2,058.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $983.07 / $1,343.63 / $1,992.81	Professional		$983.07	$1,343.63	$1,992.81
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 $768.16 / $1,044.35 / $1,646.61	Professional		$768.16	$1,044.35	$1,646.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.60 / $917.76 / $1,275.11	Professional		$808.60	$917.76	$1,275.11