Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,570.00 / $12,040.00	Facility		$921.00	$3,570.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,115.80 / $1,814.42	Professional		$933.21	$1,115.80	$1,814.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,905.20 / $8,972.92 / $18,669.38	Facility		$4,905.20	$8,972.92	$18,669.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.26 / $1,200.24 / $1,753.56	Professional		$899.26	$1,200.24	$1,753.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $997.48 / $1,014.27	Facility		$80.00	$997.48	$1,014.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.64 / $1,247.64 / $1,247.64	Facility		$1,247.64	$1,247.64	$1,247.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.14 / $1,432.08 / $2,103.61	Professional		$1,021.14	$1,432.08	$2,103.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,132.00	Facility		$55.00	$55.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,959.60 / $8,121.36 / $9,483.29	Professional		$7,959.60	$8,121.36	$9,483.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,024.18 / $1,260.83 / $2,040.49	Facility		$1,024.18	$1,260.83	$2,040.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.13 / $1,627.35 / $2,017.91	Professional		$1,356.13	$1,627.35	$2,017.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $998.16 / $1,511.60 / $1,986.29	Professional		$998.16	$1,511.60	$1,986.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.78 / $1,270.08 / $2,088.62	Facility		$1,030.78	$1,270.08	$2,088.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.69 / $1,473.40 / $2,241.62	Professional		$1,050.69	$1,473.40	$2,241.62
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 $845.09 / $1,126.79 / $1,772.64	Professional		$845.09	$1,126.79	$1,772.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $925.93 / $1,050.69 / $1,460.21	Professional		$925.93	$1,050.69	$1,460.21