Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,620.00 / $12,040.00	Facility		$969.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.94 / $1,000.85 / $1,479.20	Professional		$937.94	$1,000.85	$1,479.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,849.50 / $7,855.93 / $15,607.12	Facility		$3,849.50	$7,855.93	$15,607.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.87 / $1,197.24 / $1,364.11	Professional		$945.87	$1,197.24	$1,364.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $957.28 / $957.28 / $957.28	Facility		$957.28	$957.28	$957.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,850.42 / $3,850.42 / $3,850.42	Facility		$3,850.42	$3,850.42	$3,850.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.47 / $1,356.08 / $2,065.10	Professional		$1,068.47	$1,356.08	$2,065.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,891.25 / $11,940.77 / $11,940.77	Professional		$8,891.25	$11,940.77	$11,940.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $987.30 / $1,298.02 / $2,237.07	Facility		$987.30	$1,298.02	$2,237.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.19 / $1,539.64 / $1,811.34	Professional		$1,308.19	$1,539.64	$1,811.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.40 / $1,392.40 / $1,392.40	Professional		$1,392.40	$1,392.40	$1,392.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.30 / $1,308.46 / $2,514.64	Facility		$987.30	$1,308.46	$2,514.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,067.13 / $1,386.53 / $2,125.66	Professional		$1,067.13	$1,386.53	$2,125.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,347.00 / $7,600.00	Facility		$1,154.00	$3,347.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $1,119.77 / $1,791.16	Professional		$816.55	$1,119.77	$1,791.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.85 / $977.27 / $1,348.14	Professional		$858.85	$977.27	$1,348.14