Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.00 / $3,511.00 / $10,893.00	Facility		$878.00	$3,511.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $1,384.63 / $2,204.91	Professional		$328.76	$1,384.63	$2,204.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.18 / $2,438.60 / $7,341.00	Facility		$1,433.18	$2,438.60	$7,341.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.16 / $1,558.46 / $2,767.19	Professional		$340.16	$1,558.46	$2,767.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $300.48 / $300.48 / $300.48	Facility		$300.48	$300.48	$300.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,867.01 / $1,867.01 / $5,065.00	Facility		$1,867.01	$1,867.01	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $1,592.78 / $3,334.05	Professional		$380.29	$1,592.78	$3,334.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,940.01	Facility		$55.00	$55.00	$2,940.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,468.12 / $13,460.18 / $14,668.07	Professional		$6,468.12	$13,460.18	$14,668.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.00 / $1,565.62 / $3,634.26	Facility		$359.00	$1,565.62	$3,634.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.47 / $1,696.86 / $2,776.68	Professional		$444.47	$1,696.86	$2,776.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,407.00 / $3,407.00 / $3,407.00	Professional		$3,407.00	$3,407.00	$3,407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.26 / $1,600.03 / $3,976.06	Facility		$359.26	$1,600.03	$3,976.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $1,668.43 / $3,462.33	Professional		$380.61	$1,668.43	$3,462.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,000.00	Facility		$2,093.00	$6,000.00	$13,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.48 / $2,103.46 / $3,380.20	Professional		$1,502.48	$2,103.46	$3,380.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,316.56 / $1,468.78 / $2,092.14	Professional		$1,316.56	$1,468.78	$2,092.14