Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,060.00 / $10,639.00	Facility		$747.00	$3,060.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.53 / $1,281.34 / $1,714.24	Professional		$334.53	$1,281.34	$1,714.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,350.91 / $8,396.98	Facility		$2,466.44	$4,350.91	$8,396.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $565.23 / $1,518.00	Professional		$310.02	$565.23	$1,518.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.72 / $305.72 / $305.72	Facility		$305.72	$305.72	$305.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.67 / $3,106.67 / $3,106.67	Facility		$3,106.67	$3,106.67	$3,106.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $870.26 / $2,737.67	Professional		$395.21	$870.26	$2,737.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,248.80	Facility		$55.00	$55.00	$2,248.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,824.59 / $8,672.95 / $10,381.43	Professional		$4,824.59	$8,672.95	$10,381.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.86 / $1,008.68 / $2,365.79	Facility		$352.86	$1,008.68	$2,365.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $424.29 / $1,538.21 / $2,070.67	Professional		$424.29	$1,538.21	$2,070.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.10 / $1,186.53 / $2,479.85	Professional		$335.10	$1,186.53	$2,479.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.86 / $1,130.17 / $2,579.58	Facility		$352.86	$1,130.17	$2,579.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $1,032.06 / $2,861.84	Professional		$395.21	$1,032.06	$2,861.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.94 / $1,659.63 / $2,844.18	Professional		$1,184.94	$1,659.63	$2,844.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,009.85 / $1,130.17 / $1,599.86	Professional		$1,009.85	$1,130.17	$1,599.86