Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,213.00 / $10,893.00	Facility		$803.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $922.82 / $1,448.10	Professional		$779.22	$922.82	$1,448.10
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 $841.29 / $1,041.63 / $1,461.04	Professional		$841.29	$1,041.63	$1,461.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $852.54 / $857.06	Facility		$80.00	$852.54	$857.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,025.26 / $1,025.26	Facility		$1,025.26	$1,025.26	$1,025.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.84 / $1,166.26 / $1,770.81	Professional		$877.84	$1,166.26	$1,770.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,361.36 / $11,500.00 / $26,542.00	Facility		$3,361.36	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,516.40 / $6,720.88 / $7,756.58	Professional		$6,516.40	$6,720.88	$7,756.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.07 / $1,123.20 / $1,737.05	Facility		$865.07	$1,123.20	$1,737.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.08 / $1,330.89 / $1,650.30	Professional		$1,109.08	$1,330.89	$1,650.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $991.41 / $1,058.82 / $1,493.35	Professional		$991.41	$1,058.82	$1,493.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.41 / $1,123.31 / $1,773.75	Facility		$868.41	$1,123.31	$1,773.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $1,195.39 / $1,812.65	Professional		$887.50	$1,195.39	$1,812.65
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 $684.26 / $927.86 / $1,466.14	Professional		$684.26	$927.86	$1,466.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.25 / $855.12 / $1,196.59	Professional		$757.25	$855.12	$1,196.59