Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,377.00	Facility		$923.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.63 / $885.23 / $1,493.86	Professional		$775.63	$885.23	$1,493.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,645.23 / $4,516.79 / $8,403.96	Facility		$2,645.23	$4,516.79	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.44 / $1,020.75 / $1,390.96	Professional		$806.44	$1,020.75	$1,390.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $791.28 / $805.45	Facility		$80.00	$791.28	$805.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.72 / $1,157.65 / $1,789.56	Professional		$862.72	$1,157.65	$1,789.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,908.54 / $11,500.00 / $26,542.00	Facility		$4,908.54	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,132.77 / $7,132.77 / $7,527.90	Professional		$7,132.77	$7,132.77	$7,527.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,084.93 / $1,731.85	Facility		$844.16	$1,084.93	$1,731.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.74 / $1,292.08 / $1,602.19	Professional		$1,076.74	$1,292.08	$1,602.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.00 / $1,103.00 / $1,103.00	Professional		$1,103.00	$1,103.00	$1,103.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,108.93 / $1,771.30	Facility		$844.16	$1,108.93	$1,771.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.75 / $1,191.29 / $1,815.15	Professional		$885.75	$1,191.29	$1,815.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.31 / $937.23 / $1,473.84	Professional		$678.31	$937.23	$1,473.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.17 / $834.56 / $1,159.26	Professional		$735.17	$834.56	$1,159.26