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 $281.81 / $914.91 / $1,591.98	Professional		$281.81	$914.91	$1,591.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,411.01 / $4,349.70 / $8,396.98	Facility		$2,411.01	$4,349.70	$8,396.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $941.87 / $1,487.17	Professional		$257.11	$941.87	$1,487.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
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 $320.45 / $600.91 / $1,838.80	Professional		$320.45	$600.91	$1,838.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,715.70 / $26,542.00 / $26,542.00	Facility		$1,715.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,579.00 / $8,744.07 / $11,029.05	Professional		$4,579.00	$8,744.07	$11,029.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $1,196.83 / $1,982.31	Facility		$311.45	$1,196.83	$1,982.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $385.61 / $519.09 / $2,201.98	Professional		$385.61	$519.09	$2,201.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.10 / $1,844.10 / $1,844.10	Professional		$1,844.10	$1,844.10	$1,844.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $1,220.98 / $2,276.53	Facility		$311.45	$1,220.98	$2,276.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $855.93 / $2,054.46	Professional		$327.71	$855.93	$2,054.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,476.00	Facility		$1,634.00	$4,425.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,186.16 / $1,866.70	Professional		$907.15	$1,186.16	$1,866.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,196.83 / $1,704.78	Professional		$1,073.90	$1,196.83	$1,704.78