Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $2,747.00 / $7,542.00	Facility		$828.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.77 / $1,051.19 / $1,699.87	Professional		$891.77	$1,051.19	$1,699.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,937.00 / $8,318.61 / $16,692.30	Facility		$3,937.00	$8,318.61	$16,692.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.11 / $1,224.11 / $1,668.09	Professional		$967.11	$1,224.11	$1,668.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $931.99 / $953.88	Facility		$80.00	$931.99	$953.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.38 / $1,189.38 / $1,189.38	Facility		$1,189.38	$1,189.38	$1,189.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.21 / $1,439.15 / $2,143.59	Professional		$1,076.21	$1,439.15	$2,143.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,895.45 / $16,394.00 / $26,026.20	Facility		$4,895.45	$16,394.00	$26,026.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,550.08 / $7,708.72 / $8,998.50	Professional		$7,550.08	$7,708.72	$8,998.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.93 / $1,280.39 / $1,990.12	Facility		$996.93	$1,280.39	$1,990.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.99 / $1,544.39 / $1,915.04	Professional		$1,286.99	$1,544.39	$1,915.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.83 / $1,221.59 / $1,805.76	Professional		$1,112.83	$1,221.59	$1,805.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.83 / $1,281.21 / $2,100.41	Facility		$999.83	$1,281.21	$2,100.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,080.30 / $1,469.73 / $2,199.13	Professional		$1,080.30	$1,469.73	$2,199.13
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 $822.23 / $1,109.96 / $1,769.51	Professional		$822.23	$1,109.96	$1,769.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $878.72 / $999.83 / $1,384.26	Professional		$878.72	$999.83	$1,384.26