Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.88 / $845.29 / $1,388.59	Professional		$716.88	$845.29	$1,388.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $10,049.68 / $22,706.00	Facility		$5,323.94	$10,049.68	$22,706.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.89 / $983.35 / $1,339.99	Professional		$776.89	$983.35	$1,339.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $788.04 / $790.09	Facility		$80.00	$788.04	$790.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $940.62 / $940.62 / $940.62	Facility		$940.62	$940.62	$940.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.40 / $1,059.35 / $1,628.53	Professional		$802.40	$1,059.35	$1,628.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,083.92 / $19,913.50 / $26,542.00	Facility		$3,083.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,982.56 / $6,168.88 / $7,121.25	Professional		$5,982.56	$6,168.88	$7,121.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $787.88 / $1,031.52 / $1,608.50	Facility		$787.88	$1,031.52	$1,608.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.10 / $1,221.72 / $1,514.93	Professional		$1,018.10	$1,221.72	$1,514.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.70 / $1,046.70 / $1,046.70	Professional		$1,046.70	$1,046.70	$1,046.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.78 / $1,036.99 / $1,616.26	Facility		$797.78	$1,036.99	$1,616.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.66 / $1,095.45 / $1,654.70	Professional		$807.66	$1,095.45	$1,654.70
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 $631.62 / $843.10 / $1,296.45	Professional		$631.62	$843.10	$1,296.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $695.13 / $784.11 / $1,098.90	Professional		$695.13	$784.11	$1,098.90