Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,620.00 / $12,377.00	Facility		$935.00	$3,620.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.75 / $896.31 / $1,482.05	Professional		$755.75	$896.31	$1,482.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.46 / $9,092.56 / $18,185.13	Facility		$4,486.46	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.30 / $1,009.46 / $1,415.91	Professional		$815.30	$1,009.46	$1,415.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $824.70 / $828.91	Facility		$80.00	$824.70	$828.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.19 / $993.19 / $993.19	Facility		$993.19	$993.19	$993.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.37 / $1,129.29 / $1,715.20	Professional		$850.37	$1,129.29	$1,715.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,254.64 / $25,201.85 / $26,542.00	Facility		$3,254.64	$25,201.85	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,310.08 / $6,509.84 / $7,510.20	Professional		$6,310.08	$6,509.84	$7,510.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $832.40 / $1,082.91 / $1,689.85	Facility		$832.40	$1,082.91	$1,689.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,288.68 / $1,597.96	Professional		$1,073.90	$1,288.68	$1,597.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.41 / $1,462.61 / $3,201.02	Professional		$855.41	$1,462.61	$3,201.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.81 / $1,088.82 / $1,736.03	Facility		$833.81	$1,088.82	$1,736.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.81 / $1,157.34 / $1,754.85	Professional		$857.81	$1,157.34	$1,754.85
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 $667.20 / $896.46 / $1,403.78	Professional		$667.20	$896.46	$1,403.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $733.23 / $827.96 / $1,158.68	Professional		$733.23	$827.96	$1,158.68