Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,281.00	Facility		$895.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.94 / $1,004.24 / $1,638.00	Professional		$861.94	$1,004.24	$1,638.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $1,705.16 / $6,055.00	Facility		$1,018.00	$1,705.16	$6,055.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.18 / $1,113.55 / $1,746.87	Professional		$924.18	$1,113.55	$1,746.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $849.85 / $861.01	Facility		$80.00	$849.85	$861.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.78 / $1,123.78 / $1,123.78	Facility		$1,123.78	$1,123.78	$1,123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.47 / $1,384.98 / $2,063.17	Professional		$1,005.47	$1,384.98	$2,063.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,782.10	Facility		$55.00	$55.00	$6,782.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $10,776.75	Professional		$10,776.75	$10,776.75	$10,776.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.17 / $1,252.26 / $2,175.00	Facility		$946.17	$1,252.26	$2,175.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.71 / $1,446.86 / $1,794.10	Professional		$1,205.71	$1,446.86	$1,794.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.13 / $1,613.11 / $3,526.70	Professional		$1,029.13	$1,613.11	$3,526.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.51 / $1,253.53 / $2,200.03	Facility		$949.51	$1,253.53	$2,200.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.48 / $1,429.15 / $2,145.67	Professional		$1,027.48	$1,429.15	$2,145.67
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.24 / $1,086.05 / $1,706.11	Professional		$802.24	$1,086.05	$1,706.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $823.23 / $937.27 / $1,301.74	Professional		$823.23	$937.27	$1,301.74