Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $3,224.00 / $11,453.00	Facility		$848.49	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,012.34 / $1,660.90	Professional		$870.10	$1,012.34	$1,660.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,381.85 / $8,649.15 / $16,416.84	Facility		$4,381.85	$8,649.15	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.17 / $1,172.31 / $1,597.48	Professional		$926.17	$1,172.31	$1,597.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $927.83 / $961.11	Facility		$80.00	$927.83	$961.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.56 / $1,145.56 / $1,145.56	Facility		$1,145.56	$1,145.56	$1,145.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.84 / $1,413.37 / $2,084.46	Professional		$1,042.84	$1,413.37	$2,084.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,700.70 / $17,524.30 / $26,542.00	Facility		$4,700.70	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,371.96 / $7,371.96 / $8,698.87	Professional		$7,371.96	$7,371.96	$8,698.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.30 / $1,283.60 / $2,040.99	Facility		$957.30	$1,283.60	$2,040.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.98 / $1,475.97 / $1,830.20	Professional		$1,229.98	$1,475.97	$1,830.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.75 / $1,326.30 / $2,221.63	Professional		$1,047.75	$1,326.30	$2,221.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.83 / $1,284.69 / $2,162.11	Facility		$965.83	$1,284.69	$2,162.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,459.78 / $2,204.52	Professional		$1,047.08	$1,459.78	$2,204.52
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 $830.84 / $1,107.27 / $1,772.46	Professional		$830.84	$1,107.27	$1,772.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.80 / $957.30 / $1,317.01	Professional		$839.80	$957.30	$1,317.01