Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,174.00 / $12,767.00	Facility		$651.00	$3,174.00	$12,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.54 / $850.66 / $1,680.09	Professional		$378.54	$850.66	$1,680.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,442.89 / $4,350.91 / $8,313.84	Facility		$2,442.89	$4,350.91	$8,313.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.33 / $1,017.14 / $1,658.41	Professional		$353.33	$1,017.14	$1,658.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.90 / $354.90 / $354.90	Facility		$354.90	$354.90	$354.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.30 / $789.97 / $2,084.75	Professional		$424.30	$789.97	$2,084.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,223.77 / $26,542.00 / $26,542.00	Facility		$2,223.77	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,723.00 / $8,385.52 / $10,041.37	Professional		$5,723.00	$8,385.52	$10,041.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.51 / $1,200.50 / $2,266.29	Facility		$403.51	$1,200.50	$2,266.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.68 / $1,487.33 / $2,002.18	Professional		$485.68	$1,487.33	$2,002.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $1,141.94 / $2,292.73	Professional		$381.43	$1,141.94	$2,292.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.51 / $1,216.47 / $2,473.27	Facility		$403.51	$1,216.47	$2,473.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $1,075.96 / $2,291.42	Professional		$427.14	$1,075.96	$2,291.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.85 / $1,418.37 / $2,211.30	Professional		$1,075.85	$1,418.37	$2,211.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $1,091.35 / $1,547.60	Professional		$976.46	$1,091.35	$1,547.60