Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.66 / $3,219.00 / $11,453.00	Facility		$848.66	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $1,035.48 / $1,610.88	Professional		$872.67	$1,035.48	$1,610.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.06 / $3,663.85 / $7,118.99	Facility		$1,971.06	$3,663.85	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.89 / $1,143.75 / $1,628.80	Professional		$937.89	$1,143.75	$1,628.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $920.45 / $943.03	Facility		$80.00	$920.45	$943.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.96 / $1,151.96 / $1,151.96	Facility		$1,151.96	$1,151.96	$1,151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.68 / $1,358.18 / $2,037.53	Professional		$995.68	$1,358.18	$2,037.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,779.88 / $11,500.00 / $26,542.00	Facility		$3,779.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,600.59 / $8,600.59 / $8,689.58	Professional		$8,600.59	$8,600.59	$8,689.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.46 / $1,185.70 / $2,115.14	Facility		$950.46	$1,185.70	$2,115.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.89 / $1,489.07 / $1,846.44	Professional		$1,240.89	$1,489.07	$1,846.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.46 / $1,253.70 / $1,772.67	Professional		$1,087.46	$1,253.70	$1,772.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.59 / $1,209.73 / $2,254.94	Facility		$956.59	$1,209.73	$2,254.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,031.41 / $1,399.46 / $2,123.61	Professional		$1,031.41	$1,399.46	$2,123.61
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.55 / $1,078.50 / $1,715.32	Professional		$802.55	$1,078.50	$1,715.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $847.25 / $964.90 / $1,333.50	Professional		$847.25	$964.90	$1,333.50