Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,377.00	Facility		$935.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.86 / $985.92 / $1,662.75	Professional		$863.86	$985.92	$1,662.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,024.84 / $9,272.02 / $18,185.13	Facility		$5,024.84	$9,272.02	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.85 / $1,136.46 / $1,548.64	Professional		$897.85	$1,136.46	$1,548.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $876.13 / $893.32	Facility		$80.00	$876.13	$893.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $1,101.82 / $1,101.82	Facility		$1,101.82	$1,101.82	$1,101.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.55 / $1,293.41 / $1,996.72	Professional		$962.55	$1,293.41	$1,996.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,372.24 / $26,542.00 / $26,785.95	Facility		$6,372.24	$26,542.00	$26,785.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,911.00 / $8,911.00 / $8,911.00	Professional		$8,911.00	$8,911.00	$8,911.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $937.48 / $1,202.59 / $1,990.96	Facility		$937.48	$1,202.59	$1,990.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.63 / $1,437.15 / $1,782.07	Professional		$1,197.63	$1,437.15	$1,782.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.20 / $1,201.20 / $1,201.20	Professional		$1,201.20	$1,201.20	$1,201.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.25 / $1,207.58 / $2,092.50	Facility		$938.25	$1,207.58	$2,092.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.43 / $1,342.46 / $2,021.61	Professional		$988.43	$1,342.46	$2,021.61
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 $758.69 / $1,027.77 / $1,622.22	Professional		$758.69	$1,027.77	$1,622.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $817.71 / $928.91 / $1,289.01	Professional		$817.71	$928.91	$1,289.01