Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,219.00 / $8,883.00	Facility		$789.00	$3,219.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.03 / $1,370.84 / $2,120.42	Professional		$423.03	$1,370.84	$2,120.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.67 / $6,749.03 / $13,692.33	Facility		$3,801.67	$6,749.03	$13,692.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.37 / $1,551.43 / $2,754.71	Professional		$441.37	$1,551.43	$2,754.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $395.77 / $395.77 / $395.77	Facility		$395.77	$395.77	$395.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,049.15 / $4,049.15 / $7,878.00	Facility		$4,049.15	$4,049.15	$7,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.05 / $1,549.69 / $3,251.41	Professional		$491.05	$1,549.69	$3,251.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,916.79 / $26,542.00 / $26,542.00	Facility		$2,916.79	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,468.12 / $12,212.32 / $13,320.08	Professional		$6,468.12	$12,212.32	$13,320.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.78 / $1,590.59 / $3,268.82	Facility		$464.78	$1,590.59	$3,268.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $1,679.79 / $2,748.74	Professional		$579.03	$1,679.79	$2,748.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,247.70 / $3,247.70 / $3,247.70	Professional		$3,247.70	$3,247.70	$3,247.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.78 / $1,600.87 / $3,893.19	Facility		$464.78	$1,600.87	$3,893.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $1,608.40 / $3,326.36	Professional		$492.75	$1,608.40	$3,326.36
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 $1,491.22 / $2,050.42 / $3,351.61	Professional		$1,491.22	$2,050.42	$3,351.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,303.32 / $1,455.34 / $2,070.54	Professional		$1,303.32	$1,455.34	$2,070.54