Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $11,453.00	Facility		$803.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.10 / $923.14 / $1,449.66	Professional		$780.10	$923.14	$1,449.66
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 $842.20 / $1,070.04 / $1,462.63	Professional		$842.20	$1,070.04	$1,462.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $853.21 / $857.73	Facility		$80.00	$853.21	$857.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,026.75 / $1,026.75	Facility		$1,026.75	$1,026.75	$1,026.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.45 / $1,154.67 / $1,778.56	Professional		$873.45	$1,154.67	$1,778.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,365.00 / $11,500.00 / $26,542.00	Facility		$3,365.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,524.00 / $6,729.92 / $7,764.53	Professional		$6,524.00	$6,729.92	$7,764.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $859.32 / $1,112.89 / $1,732.00	Facility		$859.32	$1,112.89	$1,732.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.29 / $1,332.35 / $1,652.11	Professional		$1,110.29	$1,332.35	$1,652.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.40 / $1,119.40 / $1,119.40	Professional		$1,119.40	$1,119.40	$1,119.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.40 / $1,115.54 / $1,787.74	Facility		$869.40	$1,115.54	$1,787.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $879.09 / $1,196.61 / $1,817.07	Professional		$879.09	$1,196.61	$1,817.07
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 $675.05 / $918.91 / $1,495.90	Professional		$675.05	$918.91	$1,495.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.08 / $856.07 / $1,197.92	Professional		$758.08	$856.07	$1,197.92