Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.55 / $3,682.00 / $12,444.00	Facility		$937.55	$3,682.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.72 / $954.71 / $1,510.45	Professional		$845.72	$954.71	$1,510.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,372.81 / $14,891.13	Facility		$4,122.95	$7,372.81	$14,891.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.99 / $1,063.22 / $1,481.30	Professional		$839.99	$1,063.22	$1,481.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $811.39 / $811.39 / $811.66	Facility		$811.39	$811.39	$811.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.00 / $3,795.09 / $4,927.06	Facility		$2,847.00	$3,795.09	$4,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $1,185.08 / $1,880.77	Professional		$840.30	$1,185.08	$1,880.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,218.11 / $9,218.11 / $9,218.11	Professional		$9,218.11	$9,218.11	$9,218.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $854.82 / $1,131.69 / $1,951.25	Facility		$854.82	$1,131.69	$1,951.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.50 / $1,355.04 / $1,647.31	Professional		$1,018.50	$1,355.04	$1,647.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,110.59 / $2,374.19	Professional		$6.00	$1,110.59	$2,374.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.82 / $1,152.94 / $2,341.75	Facility		$854.82	$1,152.94	$2,341.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.53 / $1,240.14 / $2,232.60	Professional		$866.53	$1,240.14	$2,232.60
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 $730.17 / $1,003.98 / $1,567.99	Professional		$730.17	$1,003.98	$1,567.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $883.57 / $1,197.29	Professional		$755.88	$883.57	$1,197.29