Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,219.00 / $11,453.00	Facility		$872.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.16 / $1,002.88 / $1,616.99	Professional		$843.16	$1,002.88	$1,616.99
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 $917.86 / $1,161.79 / $1,583.14	Professional		$917.86	$1,161.79	$1,583.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $918.05 / $924.92	Facility		$80.00	$918.05	$924.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $1,111.38	Facility		$1,111.38	$1,111.38	$1,111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.04 / $1,270.66 / $1,922.58	Professional		$951.04	$1,270.66	$1,922.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,648.84 / $11,500.00 / $26,542.00	Facility		$3,648.84	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,067.68 / $7,284.40 / $8,416.04	Professional		$7,067.68	$7,284.40	$8,416.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $928.63 / $1,161.71 / $1,796.08	Facility		$928.63	$1,161.71	$1,796.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.29 / $1,443.95 / $1,790.49	Professional		$1,203.29	$1,443.95	$1,790.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.09 / $1,153.51 / $1,753.16	Professional		$1,074.09	$1,153.51	$1,753.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.86 / $1,171.50 / $1,933.70	Facility		$932.86	$1,171.50	$1,933.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.22 / $1,300.51 / $1,997.50	Professional		$951.22	$1,300.51	$1,997.50
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 $745.70 / $994.27 / $1,543.50	Professional		$745.70	$994.27	$1,543.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $821.58 / $928.63 / $1,297.70	Professional		$821.58	$928.63	$1,297.70