Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.37 / $3,224.00 / $11,453.00	Facility		$838.37	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.73 / $1,017.08 / $1,638.32	Professional		$899.73	$1,017.08	$1,638.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,352.55 / $8,267.10	Facility		$2,436.33	$4,352.55	$8,267.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.78 / $1,115.06 / $1,564.03	Professional		$906.78	$1,115.06	$1,564.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $896.73 / $907.37	Facility		$80.00	$896.73	$907.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.08 / $1,145.08 / $1,145.08	Facility		$1,145.08	$1,145.08	$1,145.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.11 / $1,355.23 / $1,947.02	Professional		$971.11	$1,355.23	$1,947.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,583.55 / $11,500.00 / $26,542.00	Facility		$4,583.55	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,379.60 / $7,546.48 / $8,170.20	Professional		$7,379.60	$7,546.48	$8,170.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $907.58 / $1,154.86 / $1,849.71	Facility		$907.58	$1,154.86	$1,849.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.78 / $1,454.13 / $1,803.12	Professional		$1,211.78	$1,454.13	$1,803.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.15 / $1,165.36 / $1,723.04	Professional		$1,063.15	$1,165.36	$1,723.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.33 / $1,164.15 / $1,950.82	Facility		$910.33	$1,164.15	$1,950.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.05 / $1,395.54 / $2,137.17	Professional		$980.05	$1,395.54	$2,137.17
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 $793.04 / $1,058.51 / $1,686.53	Professional		$793.04	$1,058.51	$1,686.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $827.37 / $951.58 / $1,312.40	Professional		$827.37	$951.58	$1,312.40