Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,224.00 / $11,453.00	Facility		$803.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.04 / $937.67 / $1,553.02	Professional		$774.04	$937.67	$1,553.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.35 / $1,086.74 / $1,485.46	Professional		$855.35	$1,086.74	$1,485.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $868.86 / $871.94	Facility		$80.00	$868.86	$871.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.40 / $1,167.00 / $1,763.19	Professional		$875.40	$1,167.00	$1,763.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,411.76 / $11,500.00 / $26,542.00	Facility		$3,411.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,646.44 / $6,830.72 / $7,876.65	Professional		$6,646.44	$6,830.72	$7,876.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $853.29 / $1,107.66 / $1,736.76	Facility		$853.29	$1,107.66	$1,736.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.06 / $1,351.28 / $1,675.58	Professional		$1,126.06	$1,351.28	$1,675.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.40 / $1,173.40 / $1,173.40	Professional		$1,173.40	$1,173.40	$1,173.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.59 / $1,110.81 / $1,768.21	Facility		$853.59	$1,110.81	$1,768.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $888.17 / $1,212.50 / $1,853.16	Professional		$888.17	$1,212.50	$1,853.16
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 $671.47 / $902.78 / $1,439.87	Professional		$671.47	$902.78	$1,439.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $768.85 / $867.61 / $1,215.20	Professional		$768.85	$867.61	$1,215.20