Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,224.00 / $11,453.00	Facility		$895.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.40 / $1,102.28 / $1,746.79	Professional		$835.40	$1,102.28	$1,746.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,188.30 / $8,267.10	Facility		$2,189.96	$4,188.30	$8,267.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.74 / $1,290.75 / $1,758.87	Professional		$1,019.74	$1,290.75	$1,758.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $987.68 / $1,009.97	Facility		$80.00	$987.68	$1,009.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.85 / $1,254.85 / $1,254.85	Facility		$1,254.85	$1,254.85	$1,254.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.48 / $1,307.99 / $1,975.25	Professional		$911.48	$1,307.99	$1,975.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,174.60 / $11,500.00 / $26,542.00	Facility		$5,174.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,980.88 / $8,142.08 / $9,514.73	Professional		$7,980.88	$8,142.08	$9,514.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.98 / $1,119.33 / $1,749.92	Facility		$736.98	$1,119.33	$1,749.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.58 / $1,632.69 / $2,024.54	Professional		$1,360.58	$1,632.69	$2,024.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.59 / $1,192.53 / $1,375.89	Professional		$1,056.59	$1,192.53	$1,375.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $750.19 / $1,126.69 / $1,849.05	Facility		$750.19	$1,126.69	$1,849.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $1,373.21 / $2,177.12	Professional		$940.47	$1,373.21	$2,177.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.81 / $1,042.96 / $1,680.32	Professional		$724.81	$1,042.96	$1,680.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.97 / $1,056.59 / $1,463.56	Professional		$928.97	$1,056.59	$1,463.56