Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,219.00 / $11,453.00	Facility		$797.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $819.20 / $1,390.59	Professional		$696.34	$819.20	$1,390.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,181.10 / $8,318.61 / $16,416.84	Facility		$4,181.10	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.97 / $927.33 / $1,300.71	Professional		$748.97	$927.33	$1,300.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $736.07 / $751.10	Facility		$80.00	$736.07	$751.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $926.03	Facility		$926.03	$926.03	$926.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.96 / $1,101.50 / $1,659.55	Professional		$831.96	$1,101.50	$1,659.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,060.44 / $17,524.30 / $26,542.00	Facility		$3,060.44	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,904.96 / $6,025.28 / $7,037.33	Professional		$5,904.96	$6,025.28	$7,037.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.04 / $978.48 / $1,530.04	Facility		$775.04	$978.48	$1,530.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.38 / $1,207.65 / $1,497.49	Professional		$1,006.38	$1,207.65	$1,497.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $885.24 / $1,366.47 / $2,938.41	Professional		$885.24	$1,366.47	$2,938.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $780.84 / $985.32 / $1,644.01	Facility		$780.84	$985.32	$1,644.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.88 / $1,132.22 / $1,684.38	Professional		$836.88	$1,132.22	$1,684.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,237.00	Facility		$2,093.00	$6,002.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $851.35 / $1,368.62	Professional		$638.51	$851.35	$1,368.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.13 / $780.84 / $1,082.98	Professional		$687.13	$780.84	$1,082.98