Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.55 / $3,213.00 / $10,836.00	Facility		$816.55	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.12 / $886.59 / $1,228.71	Professional		$797.12	$886.59	$1,228.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,639.19 / $6,643.64 / $12,314.01	Facility		$3,639.19	$6,643.64	$12,314.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.52 / $793.70 / $915.37	Professional		$757.52	$793.70	$915.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $744.55 / $744.55 / $744.55	Facility		$744.55	$744.55	$744.55
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 $859.45 / $1,131.99 / $1,751.23	Professional		$859.45	$1,131.99	$1,751.23
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 $7,796.51 / $7,796.51 / $7,796.51	Professional		$7,796.51	$7,796.51	$7,796.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.66 / $1,101.60 / $1,859.64	Facility		$829.66	$1,101.60	$1,859.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.51 / $1,248.14 / $1,468.40	Professional		$1,060.51	$1,248.14	$1,468.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.59 / $1,270.59 / $1,270.59	Professional		$1,270.59	$1,270.59	$1,270.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.66 / $1,111.94 / $2,126.37	Facility		$829.66	$1,111.94	$2,126.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.45 / $1,148.83 / $1,868.86	Professional		$859.45	$1,148.83	$1,868.86
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 $701.58 / $964.68 / $1,527.70	Professional		$701.58	$964.68	$1,527.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $696.24 / $797.26 / $1,101.38	Professional		$696.24	$797.26	$1,101.38