Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $3,682.00 / $12,377.00	Facility		$944.86	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.66 / $982.28 / $1,657.09	Professional		$860.66	$982.28	$1,657.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,145.46 / $17,945.84	Facility		$5,144.47	$9,145.46	$17,945.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.67 / $1,100.30 / $1,543.33	Professional		$888.67	$1,100.30	$1,543.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $873.17 / $890.28	Facility		$80.00	$873.17	$890.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,098.09 / $1,098.09	Facility		$1,098.09	$1,098.09	$1,098.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.57 / $1,288.80 / $2,002.32	Professional		$958.57	$1,288.80	$2,002.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,536.25 / $19,913.50 / $26,542.00	Facility		$4,536.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,004.32 / $7,146.88 / $8,346.08	Professional		$7,004.32	$7,146.88	$8,346.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $943.34 / $1,221.16 / $1,948.54	Facility		$943.34	$1,221.16	$1,948.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,432.31 / $1,776.06	Professional		$1,193.58	$1,432.31	$1,776.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,251.70 / $2,040.16	Professional		$945.10	$1,251.70	$2,040.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.34 / $1,221.16 / $1,980.00	Facility		$943.34	$1,221.16	$1,980.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $987.44 / $1,339.76 / $2,028.26	Professional		$987.44	$1,339.76	$2,028.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,591.00 / $13,237.00	Facility		$2,182.00	$6,591.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.34 / $1,055.76 / $1,674.54	Professional		$770.34	$1,055.76	$1,674.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $925.75 / $1,284.65	Professional		$814.95	$925.75	$1,284.65