Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.74 / $1,011.86 / $1,719.11	Professional		$859.74	$1,011.86	$1,719.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.49 / $8,318.61 / $16,416.84	Facility		$3,966.49	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.97 / $1,129.21 / $1,608.10	Professional		$925.97	$1,129.21	$1,608.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $896.77 / $921.42	Facility		$80.00	$896.77	$921.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,140.13 / $1,140.13	Facility		$1,140.13	$1,140.13	$1,140.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.22 / $1,373.36 / $2,062.44	Professional		$1,035.22	$1,373.36	$2,062.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,775.12 / $16,394.00 / $17,524.30	Facility		$3,775.12	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,240.32 / $7,389.44 / $8,696.54	Professional		$7,240.32	$7,389.44	$8,696.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.62 / $1,214.81 / $1,918.25	Facility		$960.62	$1,214.81	$1,918.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.28 / $1,487.13 / $1,844.04	Professional		$1,239.28	$1,487.13	$1,844.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.59 / $1,684.32 / $3,628.08	Professional		$1,081.59	$1,684.32	$3,628.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.52 / $1,228.56 / $2,019.20	Facility		$962.52	$1,228.56	$2,019.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.49 / $1,415.26 / $2,097.53	Professional		$1,043.49	$1,415.26	$2,097.53
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 $790.07 / $1,054.90 / $1,701.55	Professional		$790.07	$1,054.90	$1,701.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.15 / $962.52 / $1,331.52	Professional		$846.15	$962.52	$1,331.52