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 $768.47 / $895.90 / $1,483.75	Professional		$768.47	$895.90	$1,483.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,234.05 / $8,853.29 / $15,732.53	Facility		$3,234.05	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.21 / $1,039.45 / $1,416.44	Professional		$821.21	$1,039.45	$1,416.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $828.01 / $831.49	Facility		$80.00	$828.01	$831.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.56 / $993.56 / $993.56	Facility		$993.56	$993.56	$993.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.75 / $1,122.18 / $1,719.22	Professional		$844.75	$1,122.18	$1,719.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,259.12 / $19,913.50 / $26,542.00	Facility		$3,259.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,318.72 / $6,514.80 / $7,523.10	Professional		$6,318.72	$6,514.80	$7,523.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.18 / $1,084.49 / $1,666.35	Facility		$835.18	$1,084.49	$1,666.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.53 / $1,290.63 / $1,600.38	Professional		$1,075.53	$1,290.63	$1,600.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $1,031.00	Professional		$1,031.00	$1,031.00	$1,031.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.37 / $1,085.13 / $1,714.99	Facility		$842.37	$1,085.13	$1,714.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.42 / $1,158.61 / $1,766.66	Professional		$851.42	$1,158.61	$1,766.66
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 $661.79 / $895.70 / $1,442.80	Professional		$661.79	$895.70	$1,442.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $828.91 / $1,160.53	Professional		$734.34	$828.91	$1,160.53