Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.57 / $3,219.00 / $10,859.92	Facility		$869.57	$3,219.00	$10,859.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.57 / $1,016.12 / $1,518.10	Professional		$869.57	$1,016.12	$1,518.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,409.55 / $6,432.06 / $12,610.23	Facility		$3,409.55	$6,432.06	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.15 / $1,083.48 / $1,509.53	Professional		$850.15	$1,083.48	$1,509.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $835.57 / $835.57 / $835.57	Facility		$835.57	$835.57	$835.57
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 $976.82 / $1,273.06 / $1,966.37	Professional		$976.82	$1,273.06	$1,966.37
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 $6,877.00 / $7,026.40 / $7,844.63	Professional		$6,877.00	$7,026.40	$7,844.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $924.65 / $1,277.49 / $2,094.19	Facility		$924.65	$1,277.49	$2,094.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.71 / $1,402.55 / $1,650.06	Professional		$1,191.71	$1,402.55	$1,650.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.40 / $1,598.40 / $1,598.40	Professional		$1,598.40	$1,598.40	$1,598.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $924.65 / $1,281.73 / $2,387.23	Facility		$924.65	$1,281.73	$2,387.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $976.82 / $1,303.33 / $1,995.09	Professional		$976.82	$1,303.33	$1,995.09
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 $803.18 / $1,077.99 / $1,718.19	Professional		$803.18	$1,077.99	$1,718.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $782.38 / $895.90 / $1,237.44	Professional		$782.38	$895.90	$1,237.44