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 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.56 / $853.10 / $1,399.56	Professional		$747.56	$853.10	$1,399.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,253.63 / $8,853.29 / $15,732.53	Facility		$3,253.63	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.89 / $988.42 / $1,346.89	Professional		$780.89	$988.42	$1,346.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $579.77 / $579.77 / $778.56	Facility		$579.77	$579.77	$778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $941.74 / $941.74	Facility		$941.74	$941.74	$941.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.62 / $1,076.93 / $1,658.00	Professional		$820.62	$1,076.93	$1,658.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,075.96 / $19,913.50 / $26,542.00	Facility		$3,075.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,192.16 / $6,369.51 / $7,096.13	Professional		$6,192.16	$6,369.51	$7,096.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.80 / $1,069.09 / $1,647.72	Facility		$801.80	$1,069.09	$1,647.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.89 / $1,220.27 / $1,513.13	Professional		$1,016.89	$1,220.27	$1,513.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $810.40 / $1,376.30 / $3,012.14	Professional		$810.40	$1,376.30	$3,012.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.41 / $1,080.36 / $1,688.48	Facility		$803.41	$1,080.36	$1,688.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $832.15 / $1,112.38 / $1,709.45	Professional		$832.15	$1,112.38	$1,709.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $872.61 / $1,384.89	Professional		$645.90	$872.61	$1,384.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $694.31 / $782.25 / $1,098.97	Professional		$694.31	$782.25	$1,098.97