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 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.65 / $848.38 / $1,334.82	Professional		$718.65	$848.38	$1,334.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,092.56 / $18,185.13	Facility		$4,606.10	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.03 / $983.43 / $1,324.36	Professional		$774.03	$983.43	$1,324.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $789.70 / $791.74	Facility		$80.00	$789.70	$791.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $943.23	Facility		$943.23	$943.23	$943.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.67 / $1,067.10 / $1,632.94	Professional		$801.67	$1,067.10	$1,632.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,092.60 / $25,239.65 / $26,542.00	Facility		$3,092.60	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,998.96 / $6,185.76 / $7,141.28	Professional		$5,998.96	$6,185.76	$7,141.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.14 / $1,038.50 / $1,586.79	Facility		$790.14	$1,038.50	$1,586.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.94 / $1,225.13 / $1,519.16	Professional		$1,020.94	$1,225.13	$1,519.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.50 / $1,533.28 / $3,109.85	Professional		$1,059.50	$1,533.28	$3,109.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.77 / $1,040.74 / $1,625.57	Facility		$799.77	$1,040.74	$1,625.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $1,098.58 / $1,662.76	Professional		$808.00	$1,098.58	$1,662.76
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 $626.29 / $835.53 / $1,370.01	Professional		$626.29	$835.53	$1,370.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $697.07 / $786.31 / $1,101.94	Professional		$697.07	$786.31	$1,101.94