Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,495.00	Facility		$803.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.62 / $1,123.45 / $1,487.73	Professional		$936.62	$1,123.45	$1,487.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,734.91 / $7,033.27 / $14,968.83	Facility		$3,734.91	$7,033.27	$14,968.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $280.60 / $1,205.63	Professional		$256.20	$280.60	$1,205.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $907.50 / $907.50 / $907.50	Facility		$907.50	$907.50	$907.50
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 $1,019.61 / $1,329.42 / $2,064.25	Professional		$1,019.61	$1,329.42	$2,064.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,349.68 / $7,530.48 / $8,576.93	Professional		$7,349.68	$7,530.48	$8,576.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.38 / $1,289.36 / $2,150.73	Facility		$984.38	$1,289.36	$2,150.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.58 / $1,515.39 / $1,782.81	Professional		$1,287.58	$1,515.39	$1,782.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.40 / $1,316.40 / $1,316.40	Professional		$1,316.40	$1,316.40	$1,316.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.38 / $1,325.49 / $2,486.13	Facility		$984.38	$1,325.49	$2,486.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,019.61 / $1,336.55 / $2,145.27	Professional		$1,019.61	$1,336.55	$2,145.27
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 $808.98 / $1,112.34 / $1,719.09	Professional		$808.98	$1,112.34	$1,719.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.32 / $956.01 / $1,338.96	Professional		$845.32	$956.01	$1,338.96