Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,219.00 / $10,893.00	Facility		$872.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.88 / $945.71 / $1,451.77	Professional		$642.88	$945.71	$1,451.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.08 / $5,003.30 / $9,224.83	Facility		$2,783.08	$5,003.30	$9,224.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.23 / $964.80 / $1,321.40	Professional		$779.23	$964.80	$1,321.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $739.68 / $739.68 / $772.81	Facility		$739.68	$739.68	$772.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.36 / $977.69 / $1,362.15	Professional		$748.36	$977.69	$1,362.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,106.48 / $6,367.76 / $6,996.45	Professional		$6,106.48	$6,367.76	$6,996.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.94 / $928.75 / $1,352.37	Facility		$732.94	$928.75	$1,352.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.74 / $1,222.22 / $5,306.00	Professional		$784.74	$1,222.22	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $799.30 / $920.69 / $1,883.23	Professional		$799.30	$920.69	$1,883.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.70 / $941.69 / $1,559.66	Facility		$735.70	$941.69	$1,559.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.63 / $1,018.43 / $1,486.92	Professional		$750.63	$1,018.43	$1,486.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $788.81 / $1,154.47	Professional		$589.79	$788.81	$1,154.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $695.42 / $784.74 / $1,105.47	Professional		$695.42	$784.74	$1,105.47