Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,188.00 / $10,836.00	Facility		$880.00	$3,188.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.35 / $1,065.88 / $1,460.49	Professional		$915.35	$1,065.88	$1,460.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,469.36 / $6,516.69 / $12,398.65	Facility		$3,469.36	$6,516.69	$12,398.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.09 / $937.84 / $1,081.59	Professional		$895.09	$937.84	$1,081.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $878.14 / $878.14 / $878.14	Facility		$878.14	$878.14	$878.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,860.97 / $6,860.97 / $6,860.97	Facility		$6,860.97	$6,860.97	$6,860.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.68 / $1,340.01 / $2,070.41	Professional		$1,015.68	$1,340.01	$2,070.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $27,110.45	Facility		$11,500.00	$26,542.00	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,596.00 / $8,596.00 / $8,596.00	Professional		$8,596.00	$8,596.00	$8,596.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $972.14 / $1,314.88 / $2,205.75	Facility		$972.14	$1,314.88	$2,205.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.10 / $1,474.81 / $1,735.07	Professional		$1,253.10	$1,474.81	$1,735.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.90 / $1,561.90 / $1,561.90	Professional		$1,561.90	$1,561.90	$1,561.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.14 / $1,315.09 / $2,513.37	Facility		$972.14	$1,315.09	$2,513.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.68 / $1,372.01 / $2,258.26	Professional		$1,015.68	$1,372.01	$2,258.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $830.64 / $1,140.03 / $1,808.72	Professional		$830.64	$1,140.03	$1,808.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.69 / $942.25 / $1,301.24	Professional		$822.69	$942.25	$1,301.24