Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $11,453.00	Facility		$797.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.79 / $858.41 / $1,424.43	Professional		$726.79	$858.41	$1,424.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,380.71 / $4,270.42 / $8,431.35	Facility		$2,380.71	$4,270.42	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $927.34 / $1,390.11	Professional		$697.25	$927.34	$1,390.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $797.88 / $800.26	Facility		$80.00	$797.88	$800.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.88 / $1,079.35 / $1,653.56	Professional		$810.88	$1,079.35	$1,653.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,129.68 / $11,500.00 / $26,542.00	Facility		$3,129.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,069.44 / $6,258.24 / $7,226.70	Professional		$6,069.44	$6,258.24	$7,226.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.79 / $1,047.42 / $1,593.25	Facility		$799.79	$1,047.42	$1,593.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.06 / $1,239.68 / $1,537.20	Professional		$1,033.06	$1,239.68	$1,537.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.70 / $1,049.70 / $1,049.70	Professional		$1,049.70	$1,049.70	$1,049.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.02 / $1,050.25 / $1,638.73	Facility		$809.02	$1,050.25	$1,638.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.51 / $1,112.01 / $1,688.34	Professional		$817.51	$1,112.01	$1,688.34
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 $633.11 / $856.73 / $1,348.67	Professional		$633.11	$856.73	$1,348.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.35 / $795.77 / $1,114.92	Professional		$705.35	$795.77	$1,114.92