Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,849.00 / $11,232.00	Facility		$1,002.00	$3,849.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.35 / $1,005.88 / $1,700.95	Professional		$881.35	$1,005.88	$1,700.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,854.47 / $17,970.07 / $35,464.12	Facility		$7,854.47	$17,970.07	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.37 / $1,156.66 / $1,581.02	Professional		$910.37	$1,156.66	$1,581.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $894.63 / $912.97	Facility		$80.00	$894.63	$912.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,126.75 / $1,126.75	Facility		$1,126.75	$1,126.75	$1,126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.03 / $1,328.12 / $2,058.08	Professional		$999.03	$1,328.12	$2,058.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $33,500.00 / $61,483.10	Facility		$11,500.00	$33,500.00	$61,483.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,184.88 / $7,323.92 / $8,565.37	Professional		$7,184.88	$7,323.92	$8,565.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.26 / $1,269.06 / $1,977.89	Facility		$969.26	$1,269.06	$1,977.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.73 / $1,469.67 / $1,822.39	Professional		$1,224.73	$1,469.67	$1,822.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.45 / $1,338.03 / $3,545.80	Professional		$1,082.45	$1,338.03	$3,545.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.42 / $1,279.20 / $2,015.36	Facility		$969.42	$1,279.20	$2,015.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.08 / $1,390.77 / $2,083.13	Professional		$1,015.08	$1,390.77	$2,083.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,400.00 / $16,000.00	Facility		$2,605.00	$7,400.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.11 / $1,070.86 / $1,687.68	Professional		$798.11	$1,070.86	$1,687.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $836.21 / $950.25 / $1,317.87	Professional		$836.21	$950.25	$1,317.87