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 $809.70 / $946.36 / $1,569.20	Professional		$809.70	$946.36	$1,569.20
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 $867.38 / $1,097.89 / $1,496.08	Professional		$867.38	$1,097.89	$1,496.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $873.69 / $877.57	Facility		$80.00	$873.69	$877.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,050.59 / $1,050.59	Facility		$1,050.59	$1,050.59	$1,050.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.45 / $1,193.22 / $1,802.51	Professional		$897.45	$1,193.22	$1,802.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,446.76 / $11,500.00 / $26,542.00	Facility		$3,446.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,681.68 / $6,887.12 / $7,956.15	Professional		$6,681.68	$6,887.12	$7,956.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $880.20 / $1,143.91 / $1,743.42	Facility		$880.20	$1,143.91	$1,743.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.39 / $1,364.87 / $1,692.43	Professional		$1,137.39	$1,364.87	$1,692.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.59 / $1,148.59 / $1,148.59	Professional		$1,148.59	$1,148.59	$1,148.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.64 / $1,145.24 / $1,807.33	Facility		$888.64	$1,145.24	$1,807.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.65 / $1,225.47 / $1,851.53	Professional		$899.65	$1,225.47	$1,851.53
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 $699.42 / $932.56 / $1,473.44	Professional		$699.42	$932.56	$1,473.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $876.65 / $1,227.23	Professional		$776.58	$876.65	$1,227.23