Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,480.00	Facility		$935.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.53 / $910.23 / $1,528.98	Professional		$797.53	$910.23	$1,528.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,460.41 / $4,325.17 / $8,431.35	Facility		$2,460.41	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.56 / $1,019.68 / $1,430.25	Professional		$823.56	$1,019.68	$1,430.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $829.08 / $838.40	Facility		$80.00	$829.08	$838.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $1,016.63	Facility		$1,016.63	$1,016.63	$1,016.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.25 / $1,171.88 / $1,811.08	Professional		$880.25	$1,171.88	$1,811.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,353.68 / $11,500.00 / $26,542.00	Facility		$3,353.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,722.39 / $6,944.23 / $7,727.63	Professional		$6,722.39	$6,944.23	$7,727.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.36 / $1,143.91 / $1,792.30	Facility		$863.36	$1,143.91	$1,792.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.04 / $1,326.05 / $1,644.30	Professional		$1,105.04	$1,326.05	$1,644.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $876.89 / $1,494.82 / $3,271.51	Professional		$876.89	$1,494.82	$3,271.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.18 / $1,146.89 / $1,845.63	Facility		$865.18	$1,146.89	$1,845.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.49 / $1,204.53 / $1,848.46	Professional		$894.49	$1,204.53	$1,848.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.47 / $946.52 / $1,460.90	Professional		$693.47	$946.52	$1,460.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.49 / $854.18 / $1,191.00	Professional		$754.49	$854.18	$1,191.00