Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,102.00 / $10,546.00	Facility		$748.00	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $1,067.88 / $1,570.26	Professional		$327.22	$1,067.88	$1,570.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.76 / $7,216.02 / $14,110.30	Facility		$3,906.76	$7,216.02	$14,110.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.94 / $990.38 / $1,788.58	Professional		$303.94	$990.38	$1,788.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $5,998.10 / $5,998.10	Facility		$307.39	$5,998.10	$5,998.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,582.90 / $7,582.90 / $7,582.90	Facility		$7,582.90	$7,582.90	$7,582.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $702.99 / $1,997.55	Professional		$365.20	$702.99	$1,997.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.07 / $26,542.00 / $26,542.00	Facility		$2,057.07	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,036.00 / $7,793.44 / $9,322.12	Professional		$5,036.00	$7,793.44	$9,322.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.79 / $1,063.28 / $2,125.40	Facility		$343.79	$1,063.28	$2,125.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.14 / $1,381.35 / $1,859.52	Professional		$417.14	$1,381.35	$1,859.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $1,084.50 / $2,169.00	Professional		$330.50	$1,084.50	$2,169.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.79 / $1,093.76 / $2,346.08	Facility		$343.79	$1,093.76	$2,346.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.81 / $925.99 / $2,098.00	Professional		$366.81	$925.99	$2,098.00
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 $1,041.10 / $1,367.38 / $2,176.15	Professional		$1,041.10	$1,367.38	$2,176.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $906.88 / $1,012.65 / $1,438.09	Professional		$906.88	$1,012.65	$1,438.09