Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,596.00 / $12,500.78	Facility		$945.00	$3,596.00	$12,500.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.34 / $932.33 / $1,574.43	Professional		$798.34	$932.33	$1,574.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,441.66 / $9,037.00 / $17,826.21	Facility		$4,441.66	$9,037.00	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.53 / $1,075.30 / $1,465.28	Professional		$849.53	$1,075.30	$1,465.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $828.15 / $844.85	Facility		$80.00	$828.15	$844.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.67 / $1,216.28 / $1,827.45	Professional		$901.67	$1,216.28	$1,827.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,913.50	Facility		$55.00	$55.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,927.80 / $11,926.99 / $11,926.99	Professional		$7,927.80	$11,926.99	$11,926.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.87 / $1,160.33 / $1,993.57	Facility		$887.87	$1,160.33	$1,993.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.75 / $1,360.50 / $1,687.02	Professional		$1,133.75	$1,360.50	$1,687.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.20 / $1,176.20 / $1,176.20	Professional		$1,176.20	$1,176.20	$1,176.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.94 / $1,161.66 / $2,026.16	Facility		$887.94	$1,161.66	$2,026.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $1,253.66 / $1,909.54	Professional		$913.19	$1,253.66	$1,909.54
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 $718.17 / $958.18 / $1,528.81	Professional		$718.17	$958.18	$1,528.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $879.57 / $1,220.09	Professional		$774.10	$879.57	$1,220.09