Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.68 / $909.25 / $1,535.59	Professional		$796.68	$909.25	$1,535.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,443.57 / $9,511.29 / $19,441.34	Facility		$5,443.57	$9,511.29	$19,441.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.67 / $1,047.63 / $1,427.59	Professional		$827.67	$1,047.63	$1,427.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $811.58 / $826.51	Facility		$80.00	$811.58	$826.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.74 / $1,190.46 / $1,831.48	Professional		$885.74	$1,190.46	$1,831.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,714.40	Facility		$55.00	$55.00	$27,714.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,294.58 / $7,294.58 / $7,740.23	Professional		$7,294.58	$7,294.58	$7,740.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.72 / $1,117.30 / $1,805.51	Facility		$865.72	$1,117.30	$1,805.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.65 / $1,327.98 / $1,646.70	Professional		$1,106.65	$1,327.98	$1,646.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $968.96 / $1,101.08 / $1,541.52	Professional		$968.96	$1,101.08	$1,541.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.95 / $1,129.20 / $1,830.86	Facility		$865.95	$1,129.20	$1,830.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $908.95 / $1,233.98 / $1,864.40	Professional		$908.95	$1,233.98	$1,864.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $965.74 / $1,540.26	Professional		$706.53	$965.74	$1,540.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $857.87 / $1,191.25	Professional		$755.59	$857.87	$1,191.25