Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,485.00 / $7,542.00	Facility		$633.00	$2,485.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.92 / $790.35 / $1,584.93	Professional		$318.92	$790.35	$1,584.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.26 / $6,940.25 / $13,466.84	Facility		$3,309.26	$6,940.25	$13,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.55 / $955.89 / $1,542.63	Professional		$294.55	$955.89	$1,542.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $300.22 / $300.22 / $300.22	Facility		$300.22	$300.22	$300.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.02 / $690.70 / $1,623.73	Professional		$357.02	$690.70	$1,623.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.58 / $16,394.00 / $16,394.00	Facility		$2,070.58	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,204.42 / $7,853.44 / $9,393.00	Professional		$4,204.42	$7,853.44	$9,393.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.98 / $983.95 / $1,824.89	Facility		$334.98	$983.95	$1,824.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.04 / $1,391.87 / $1,873.67	Professional		$407.04	$1,391.87	$1,873.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $1,069.76 / $2,147.00	Professional		$319.36	$1,069.76	$2,147.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.98 / $1,020.03 / $1,994.94	Facility		$334.98	$1,020.03	$1,994.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.54 / $900.67 / $1,816.68	Professional		$359.54	$900.67	$1,816.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,646.00 / $13,190.00	Facility		$2,605.00	$6,646.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.50 / $1,131.77 / $1,810.83	Professional		$823.50	$1,131.77	$1,810.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $913.78 / $1,020.03 / $1,449.23	Professional		$913.78	$1,020.03	$1,449.23