Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,495.00	Facility		$803.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $920.17 / $1,278.20	Professional		$833.23	$920.17	$1,278.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,279.81 / $6,347.43 / $12,610.23	Facility		$3,279.81	$6,347.43	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.20 / $932.41 / $1,730.17	Professional		$677.20	$932.41	$1,730.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $774.27 / $774.27 / $774.27	Facility		$774.27	$774.27	$774.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $1,176.30 / $1,780.78	Professional		$893.08	$1,176.30	$1,780.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,359.36 / $6,500.16 / $7,261.80	Professional		$6,359.36	$6,500.16	$7,261.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.92 / $1,145.98 / $1,930.71	Facility		$860.92	$1,145.98	$1,930.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.99 / $1,298.13 / $1,527.21	Professional		$1,102.99	$1,298.13	$1,527.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.70 / $1,274.70 / $1,274.70	Professional		$1,274.70	$1,274.70	$1,274.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.92 / $1,154.60 / $2,209.61	Facility		$860.92	$1,154.60	$2,209.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $1,192.33 / $1,835.05	Professional		$893.08	$1,192.33	$1,835.05
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 $728.14 / $1,001.20 / $1,547.31	Professional		$728.14	$1,001.20	$1,547.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.13 / $828.97 / $1,145.36	Professional		$724.13	$828.97	$1,145.36