Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $11,453.00	Facility		$803.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.25 / $896.39 / $1,411.86	Professional		$802.25	$896.39	$1,411.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,573.19 / $4,379.92 / $8,431.35	Facility		$2,573.19	$4,379.92	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.21 / $1,034.39 / $1,409.54	Professional		$817.21	$1,034.39	$1,409.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $801.10 / $815.60	Facility		$80.00	$801.10	$815.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,003.62	Facility		$1,003.62	$1,003.62	$1,003.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.73 / $1,173.63 / $1,813.00	Professional		$872.73	$1,173.63	$1,813.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,144.60 / $11,500.00 / $26,542.00	Facility		$4,144.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,402.56 / $6,535.04 / $7,627.95	Professional		$6,402.56	$6,535.04	$7,627.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.75 / $1,112.58 / $1,696.37	Facility		$857.75	$1,112.58	$1,696.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.89 / $1,309.07 / $1,623.24	Professional		$1,090.89	$1,309.07	$1,623.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $964.56 / $1,450.19 / $1,874.52	Professional		$964.56	$1,450.19	$1,874.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.75 / $1,128.89 / $1,779.14	Facility		$857.75	$1,128.89	$1,779.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.50 / $1,217.16 / $1,829.96	Professional		$898.50	$1,217.16	$1,829.96
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 $687.78 / $940.73 / $1,473.68	Professional		$687.78	$940.73	$1,473.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $744.83 / $845.60 / $1,174.41	Professional		$744.83	$845.60	$1,174.41