Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,224.00 / $11,453.00	Facility		$799.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.50 / $833.21 / $1,232.86	Professional		$718.50	$833.21	$1,232.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.73 / $6,559.01 / $12,398.65	Facility		$3,520.73	$6,559.01	$12,398.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.72 / $896.86 / $1,249.53	Professional		$703.72	$896.86	$1,249.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $677.77 / $5,350.33 / $5,350.33	Facility		$677.77	$5,350.33	$5,350.33
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 $788.65 / $1,037.27 / $1,557.18	Professional		$788.65	$1,037.27	$1,557.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,740.48 / $5,835.28 / $6,510.75	Professional		$5,740.48	$5,835.28	$6,510.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $762.54 / $991.65 / $2,025.30	Facility		$762.54	$991.65	$2,025.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $991.97 / $1,167.47 / $1,419.27	Professional		$991.97	$1,167.47	$1,419.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.40 / $1,066.40 / $1,066.40	Professional		$1,066.40	$1,066.40	$1,066.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.40 / $993.47 / $2,025.30	Facility		$760.40	$993.47	$2,025.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.04 / $1,049.56 / $1,627.88	Professional		$790.04	$1,049.56	$1,627.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $7,060.00 / $19,992.00	Facility		$2,182.00	$7,060.00	$19,992.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $877.70 / $1,362.02	Professional		$640.95	$877.70	$1,362.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $651.24 / $744.53 / $1,031.68	Professional		$651.24	$744.53	$1,031.68