Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,500.00 / $7,542.00	Facility		$652.00	$2,500.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.47 / $1,533.44 / $2,273.31	Professional		$371.47	$1,533.44	$2,273.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,670.16 / $2,834.48 / $6,164.99	Facility		$1,670.16	$2,834.48	$6,164.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $1,283.58 / $2,585.89	Professional		$349.00	$1,283.58	$2,585.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.41 / $2,638.80 / $2,638.80	Facility		$346.41	$2,638.80	$2,638.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.08 / $1,918.08 / $1,918.08	Facility		$1,918.08	$1,918.08	$1,918.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.78 / $1,645.46 / $3,171.48	Professional		$424.78	$1,645.46	$3,171.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,636.22	Facility		$55.00	$55.00	$2,636.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,922.27 / $11,479.68 / $13,502.70	Professional		$5,922.27	$11,479.68	$13,502.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.90 / $1,254.60 / $2,818.39	Facility		$378.90	$1,254.60	$2,818.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.11 / $1,706.11 / $2,791.82	Professional		$486.11	$1,706.11	$2,791.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.30 / $2,480.30 / $2,480.30	Professional		$2,480.30	$2,480.30	$2,480.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.90 / $1,401.07 / $3,969.20	Facility		$378.90	$1,401.07	$3,969.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.89 / $1,713.16 / $3,217.04	Professional		$427.89	$1,713.16	$3,217.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.48 / $2,031.78 / $3,175.05	Professional		$1,470.48	$2,031.78	$3,175.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,323.74 / $1,476.01 / $2,105.53	Professional		$1,323.74	$1,476.01	$2,105.53