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 / $12,377.00	Facility		$935.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.42 / $931.53 / $1,539.87	Professional		$825.42	$931.53	$1,539.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,324.00 / $9,032.74 / $17,826.21	Facility		$4,324.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.46 / $1,052.99 / $1,476.96	Professional		$850.46	$1,052.99	$1,476.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $868.74 / $870.00	Facility		$80.00	$868.74	$870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,035.32 / $1,035.32	Facility		$1,035.32	$1,035.32	$1,035.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.44 / $1,178.56 / $1,793.59	Professional		$896.44	$1,178.56	$1,793.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,384.20 / $25,354.75 / $26,542.00	Facility		$3,384.20	$25,354.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.16 / $6,807.66 / $7,816.50	Professional		$6,790.16	$6,807.66	$7,816.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $881.57 / $1,169.00 / $1,802.01	Facility		$881.57	$1,169.00	$1,802.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.58 / $1,341.09 / $1,662.95	Professional		$1,117.58	$1,341.09	$1,662.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $890.34 / $1,537.15 / $3,364.17	Professional		$890.34	$1,537.15	$3,364.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $885.35 / $1,177.68 / $1,870.99	Facility		$885.35	$1,177.68	$1,870.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $909.10 / $1,212.06 / $1,856.68	Professional		$909.10	$1,212.06	$1,856.68
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 $701.99 / $946.03 / $1,525.59	Professional		$701.99	$946.03	$1,525.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $763.05 / $860.26 / $1,206.55	Professional		$763.05	$860.26	$1,206.55