Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,213.00 / $10,836.00	Facility		$872.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.58 / $1,177.05 / $1,583.34	Professional		$953.58	$1,177.05	$1,583.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,492.38 / $7,275.80 / $14,212.05	Facility		$3,492.38	$7,275.80	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.91 / $1,192.57 / $1,733.39	Professional		$888.91	$1,192.57	$1,733.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,025.74 / $1,025.74 / $1,025.74	Facility		$1,025.74	$1,025.74	$1,025.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.71 / $1,305.10 / $1,950.75	Professional		$920.71	$1,305.10	$1,950.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,666.16 / $7,949.36 / $9,071.85	Professional		$7,666.16	$7,949.36	$9,071.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $882.69 / $1,207.74 / $2,081.98	Facility		$882.69	$1,207.74	$2,081.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.92 / $1,591.11 / $1,871.89	Professional		$1,351.92	$1,591.11	$1,871.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.80 / $785.80 / $1,078.66	Professional		$785.80	$785.80	$1,078.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.69 / $1,220.90 / $2,323.17	Facility		$882.69	$1,220.90	$2,323.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $971.10 / $1,344.23 / $2,116.57	Professional		$971.10	$1,344.23	$2,116.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.02 / $1,104.63 / $1,727.64	Professional		$802.02	$1,104.63	$1,727.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $887.56 / $996.87 / $1,406.62	Professional		$887.56	$996.87	$1,406.62