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 $749.72 / $877.50 / $1,455.50	Professional		$749.72	$877.50	$1,455.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,541.20 / $9,092.56 / $18,185.13	Facility		$4,541.20	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $1,019.19 / $1,388.83	Professional		$805.20	$1,019.19	$1,388.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $813.93 / $816.91	Facility		$80.00	$813.93	$816.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $974.93	Facility		$974.93	$974.93	$974.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.67 / $1,098.78 / $1,684.38	Professional		$832.67	$1,098.78	$1,684.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,197.44 / $26,542.00 / $27,516.20	Facility		$3,197.44	$26,542.00	$27,516.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,200.32 / $6,392.96 / $7,381.58	Professional		$6,200.32	$6,392.96	$7,381.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $818.30 / $1,061.75 / $1,628.46	Facility		$818.30	$1,061.75	$1,628.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.30 / $1,266.35 / $1,570.29	Professional		$1,055.30	$1,266.35	$1,570.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.30 / $1,586.30 / $3,213.64	Professional		$1,051.30	$1,586.30	$3,213.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.39 / $1,065.98 / $1,704.18	Facility		$826.39	$1,065.98	$1,704.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.93 / $1,136.38 / $1,724.03	Professional		$843.93	$1,136.38	$1,724.03
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 $652.79 / $870.47 / $1,413.89	Professional		$652.79	$870.47	$1,413.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $720.53 / $813.13 / $1,138.83	Professional		$720.53	$813.13	$1,138.83