Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.91 / $2,825.00 / $8,737.44	Facility		$744.91	$2,825.00	$8,737.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $906.44 / $1,568.14	Professional		$815.78	$906.44	$1,568.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,373.01 / $9,032.74 / $17,886.03	Facility		$4,373.01	$9,032.74	$17,886.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.89 / $1,015.14 / $1,423.87	Professional		$819.89	$1,015.14	$1,423.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $805.58 / $821.43	Facility		$80.00	$805.58	$821.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.55 / $1,191.16 / $1,828.65	Professional		$890.55	$1,191.16	$1,828.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,192.50 / $16,394.00 / $19,913.50	Facility		$4,192.50	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,471.20 / $6,601.92 / $7,714.35	Professional		$6,471.20	$6,601.92	$7,714.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $872.68 / $1,135.23 / $1,721.33	Facility		$872.68	$1,135.23	$1,721.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.01 / $1,323.62 / $1,641.28	Professional		$1,103.01	$1,323.62	$1,641.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $961.90 / $1,528.19 / $3,276.83	Professional		$961.90	$1,528.19	$3,276.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.73 / $1,138.85 / $1,801.27	Facility		$872.73	$1,138.85	$1,801.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $914.19 / $1,238.53 / $1,856.74	Professional		$914.19	$1,238.53	$1,856.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.87 / $931.83 / $1,503.04	Professional		$698.87	$931.83	$1,503.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.11 / $855.57 / $1,187.06	Professional		$753.11	$855.57	$1,187.06