Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,849.00 / $13,004.00	Facility		$969.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.15 / $916.02 / $1,290.59	Professional		$730.15	$916.02	$1,290.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,469.82 / $14,454.58	Facility		$4,122.95	$7,469.82	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.60 / $971.78 / $1,358.09	Professional		$751.60	$971.78	$1,358.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $746.38 / $746.38 / $746.38	Facility		$746.38	$746.38	$746.38
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 $839.80 / $1,093.71 / $1,622.92	Professional		$839.80	$1,093.71	$1,622.92
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 $5,960.56 / $6,119.20 / $7,047.60	Professional		$5,960.56	$6,119.20	$7,047.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.19 / $1,016.83 / $1,796.23	Facility		$805.19	$1,016.83	$1,796.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.69 / $1,237.75 / $1,456.18	Professional		$1,051.69	$1,237.75	$1,456.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $791.14 / $840.04 / $1,069.59	Professional		$791.14	$840.04	$1,069.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.19 / $1,039.64 / $2,014.30	Facility		$805.19	$1,039.64	$2,014.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.80 / $1,105.78 / $1,721.11	Professional		$839.80	$1,105.78	$1,721.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.37 / $904.91 / $1,465.09	Professional		$646.37	$904.91	$1,465.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $690.45 / $782.18 / $1,090.79	Professional		$690.45	$782.18	$1,090.79