Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.88 / $3,219.00 / $11,453.00	Facility		$863.88	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.88 / $1,021.61 / $1,685.59	Professional		$863.88	$1,021.61	$1,685.59
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 $929.02 / $1,150.26 / $1,613.41	Professional		$929.02	$1,150.26	$1,613.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $941.81 / $945.57	Facility		$80.00	$941.81	$945.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.88 / $1,131.88 / $1,131.88	Facility		$1,131.88	$1,131.88	$1,131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.44 / $1,303.97 / $2,001.08	Professional		$991.44	$1,303.97	$2,001.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,702.36 / $19,913.50 / $26,542.00	Facility		$3,702.36	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,528.50 / $7,776.94 / $8,545.43	Professional		$7,528.50	$7,776.94	$8,545.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.61 / $1,265.33 / $1,973.95	Facility		$964.61	$1,265.33	$1,973.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.89 / $1,466.27 / $1,818.17	Professional		$1,221.89	$1,466.27	$1,818.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.50 / $1,362.50 / $1,362.50	Professional		$1,362.50	$1,362.50	$1,362.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.61 / $1,268.06 / $2,011.05	Facility		$964.61	$1,268.06	$2,011.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.07 / $1,344.95 / $2,047.51	Professional		$1,000.07	$1,344.95	$2,047.51
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 $780.14 / $1,042.15 / $1,652.23	Professional		$780.14	$1,042.15	$1,652.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $834.28 / $941.67 / $1,318.56	Professional		$834.28	$941.67	$1,318.56