Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,729.00	Facility		$945.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.41 / $1,001.79 / $1,508.35	Professional		$891.41	$1,001.79	$1,508.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,374.98 / $4,217.06 / $8,067.41	Facility		$2,374.98	$4,217.06	$8,067.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.22 / $1,077.02 / $1,568.15	Professional		$818.22	$1,077.02	$1,568.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $846.60 / $846.60 / $860.36	Facility		$846.60	$846.60	$860.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $3,559.00	Facility		$1,508.82	$2,001.65	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.80 / $1,257.29 / $1,939.92	Professional		$894.80	$1,257.29	$1,939.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,072.81 / $9,072.81 / $9,072.81	Professional		$9,072.81	$9,072.81	$9,072.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.68 / $1,171.58 / $2,174.42	Facility		$925.68	$1,171.58	$2,174.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.97 / $1,413.87 / $1,753.20	Professional		$1,083.97	$1,413.87	$1,753.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,132.80 / $2,465.69	Professional		$6.00	$1,132.80	$2,465.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.03 / $1,184.18 / $2,225.69	Facility		$932.03	$1,184.18	$2,225.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.19 / $1,329.00 / $2,410.09	Professional		$928.19	$1,329.00	$2,410.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.94 / $1,040.30 / $1,692.88	Professional		$770.94	$1,040.30	$1,692.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $938.73 / $1,269.69	Professional		$804.46	$938.73	$1,269.69