Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,647.00 / $12,040.00	Facility		$951.00	$3,647.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.85 / $925.41 / $1,202.84	Professional		$772.85	$925.41	$1,202.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,783.41 / $7,178.78 / $15,570.20	Facility		$3,783.41	$7,178.78	$15,570.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.27 / $977.76 / $1,361.89	Professional		$772.27	$977.76	$1,361.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $728.96 / $728.96 / $728.96	Facility		$728.96	$728.96	$728.96
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 $809.68 / $1,070.14 / $1,623.41	Professional		$809.68	$1,070.14	$1,623.41
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 $5,964.80 / $6,177.60 / $6,960.38	Professional		$5,964.80	$6,177.60	$6,960.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $1,039.58 / $1,764.89	Facility		$781.17	$1,039.58	$1,764.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.95 / $1,229.83 / $1,446.86	Professional		$1,044.95	$1,229.83	$1,446.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $989.30 / $989.30 / $989.30	Professional		$989.30	$989.30	$989.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $1,046.39 / $2,074.19	Facility		$781.17	$1,046.39	$2,074.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.17 / $1,084.45 / $1,746.84	Professional		$826.17	$1,084.45	$1,746.84
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 $635.54 / $881.99 / $1,372.11	Professional		$635.54	$881.99	$1,372.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $686.03 / $776.03 / $1,086.56	Professional		$686.03	$776.03	$1,086.56