Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,060.00 / $10,836.00	Facility		$748.00	$3,060.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $1,221.97 / $2,106.38	Professional		$293.20	$1,221.97	$2,106.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,442.89 / $4,350.91 / $8,300.82	Facility		$2,442.89	$4,350.91	$8,300.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.42 / $1,336.65 / $2,000.82	Professional		$270.42	$1,336.65	$2,000.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $2,103.46 / $2,103.46	Facility		$260.74	$2,103.46	$2,103.46
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 $341.13 / $667.90 / $2,556.01	Professional		$341.13	$667.90	$2,556.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,722.25	Facility		$55.00	$55.00	$2,722.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,527.68 / $10,546.00 / $12,461.25	Professional		$5,527.68	$10,546.00	$12,461.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.57 / $1,214.02 / $2,433.46	Facility		$306.57	$1,214.02	$2,433.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.05 / $933.93 / $2,499.73	Professional		$370.05	$933.93	$2,499.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.51 / $1,564.29 / $5,434.12	Professional		$401.51	$1,564.29	$5,434.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.33 / $1,334.27 / $2,655.67	Facility		$307.33	$1,334.27	$2,655.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $948.77 / $2,779.79	Professional		$341.43	$948.77	$2,779.79
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 $1,289.15 / $1,730.24 / $2,701.06	Professional		$1,289.15	$1,730.24	$2,701.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,219.10 / $1,360.25 / $1,937.30	Professional		$1,219.10	$1,360.25	$1,937.30