Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,611.00 / $12,040.00	Facility		$935.00	$3,611.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $837.81 / $1,232.64	Professional		$732.07	$837.81	$1,232.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,758.96 / $6,663.60 / $12,900.05	Facility		$3,758.96	$6,663.60	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.81 / $969.32 / $1,350.49	Professional		$765.81	$969.32	$1,350.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $723.82 / $723.82 / $723.82	Facility		$723.82	$723.82	$723.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.00 / $5,065.00 / $5,065.00	Facility		$5,065.00	$5,065.00	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.80 / $1,132.45 / $1,751.27	Professional		$835.80	$1,132.45	$1,751.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,033.76 / $6,195.76 / $7,064.18	Professional		$6,033.76	$6,195.76	$7,064.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.43 / $1,078.58 / $1,783.24	Facility		$812.43	$1,078.58	$1,783.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.09 / $1,247.65 / $1,467.83	Professional		$1,060.09	$1,247.65	$1,467.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.50 / $1,120.50 / $1,120.50	Professional		$1,120.50	$1,120.50	$1,120.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.43 / $1,081.68 / $1,825.30	Facility		$812.43	$1,081.68	$1,825.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.80 / $1,155.13 / $1,840.36	Professional		$835.80	$1,155.13	$1,840.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.06 / $911.70 / $1,465.09	Professional		$663.06	$911.70	$1,465.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $695.97 / $795.25 / $1,097.51	Professional		$695.97	$795.25	$1,097.51