Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.70 / $3,682.00 / $12,040.00	Facility		$928.70	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.11 / $800.33 / $1,127.02	Professional		$694.11	$800.33	$1,127.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,826.59 / $9,720.21 / $20,580.05	Facility		$4,826.59	$9,720.21	$20,580.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.40 / $929.59 / $1,295.11	Professional		$729.40	$929.59	$1,295.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $685.37 / $685.37 / $685.37	Facility		$685.37	$685.37	$685.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,480.54 / $4,480.54 / $4,480.54	Facility		$4,480.54	$4,480.54	$4,480.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.87 / $1,048.65 / $1,622.25	Professional		$779.87	$1,048.65	$1,622.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,709.04 / $5,898.64 / $6,690.08	Professional		$5,709.04	$5,898.64	$6,690.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.98 / $975.88 / $1,664.05	Facility		$768.98	$975.88	$1,664.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.33 / $1,180.83 / $1,389.22	Professional		$1,003.33	$1,180.83	$1,389.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.09 / $1,035.09 / $1,035.09	Professional		$1,035.09	$1,035.09	$1,035.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.98 / $999.67 / $1,974.77	Facility		$768.98	$999.67	$1,974.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $788.85 / $1,077.94 / $1,672.92	Professional		$788.85	$1,077.94	$1,672.92
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 $621.69 / $858.30 / $1,336.58	Professional		$621.69	$858.30	$1,336.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.70 / $751.35 / $1,039.30	Professional		$658.70	$751.35	$1,039.30