Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,596.00 / $12,729.00	Facility		$916.00	$3,596.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $1,499.36 / $2,444.82	Professional		$361.50	$1,499.36	$2,444.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.75 / $7,827.18 / $15,531.00	Facility		$4,755.75	$7,827.18	$15,531.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.99 / $1,553.25 / $2,321.69	Professional		$331.99	$1,553.25	$2,321.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.58 / $4,673.06 / $4,673.06	Facility		$316.58	$4,673.06	$4,673.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,046.75 / $5,046.75 / $5,046.75	Facility		$5,046.75	$5,046.75	$5,046.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.24 / $757.04 / $2,832.59	Professional		$409.24	$757.04	$2,832.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,872.49	Facility		$55.00	$55.00	$2,872.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,442.75 / $12,321.44 / $14,523.30	Professional		$6,442.75	$12,321.44	$14,523.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.21 / $1,417.37 / $2,980.43	Facility		$366.21	$1,417.37	$2,980.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.47 / $2,166.87 / $2,916.94	Professional		$452.47	$2,166.87	$2,916.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.44 / $1,530.23 / $3,211.33	Professional		$363.44	$1,530.23	$3,211.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.21 / $1,588.09 / $3,530.45	Facility		$366.21	$1,588.09	$3,530.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.23 / $1,105.19 / $3,176.67	Professional		$410.23	$1,105.19	$3,176.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,608.00 / $13,190.00	Facility		$2,605.00	$6,608.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.53 / $2,006.79 / $3,230.81	Professional		$1,435.53	$2,006.79	$3,230.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,422.58 / $1,588.09 / $2,261.02	Professional		$1,422.58	$1,588.09	$2,261.02