Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $11,453.00	Facility		$797.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $819.20 / $1,379.66	Professional		$696.34	$819.20	$1,379.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,974.23 / $8,263.51 / $16,141.40	Facility		$3,974.23	$8,263.51	$16,141.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.11 / $954.52 / $1,300.71	Professional		$754.11	$954.52	$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 / $1,102.35 / $1,659.55	Professional		$831.96	$1,102.35	$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 / $995.47 / $1,581.19	Facility		$775.04	$995.47	$1,581.19
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 / $999.19 / $1,644.01	Facility		$780.84	$999.19	$1,644.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.34 / $1,132.54 / $1,688.13	Professional		$839.34	$1,132.54	$1,688.13
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 $648.09 / $861.09 / $1,373.23	Professional		$648.09	$861.09	$1,373.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.13 / $780.84 / $1,082.98	Professional		$687.13	$780.84	$1,082.98