Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,066.48 / $1,593.78	Professional		$745.62	$1,066.48	$1,593.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $4,909.47 / $9,349.91	Facility		$2,828.92	$4,909.47	$9,349.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,073.66 / $1,492.99	Professional		$865.15	$1,073.66	$1,492.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.46 / $831.46 / $868.76	Facility		$831.46	$831.46	$868.76
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 $869.18 / $1,154.91 / $1,578.98	Professional		$869.18	$1,154.91	$1,578.98
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 $6,925.04 / $7,203.84 / $7,923.60	Professional		$6,925.04	$7,203.84	$7,923.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $841.87 / $1,083.63 / $1,561.57	Facility		$841.87	$1,083.63	$1,561.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $890.38 / $1,385.24 / $5,306.00	Professional		$890.38	$1,385.24	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $949.90 / $1,042.28 / $2,131.94	Professional		$949.90	$1,042.28	$2,131.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $861.12 / $1,101.72 / $1,833.70	Facility		$861.12	$1,101.72	$1,833.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.34 / $1,164.60 / $1,733.70	Professional		$873.34	$1,164.60	$1,733.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $5,143.00 / $10,476.00	Facility		$1,691.00	$5,143.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $923.89 / $1,367.49	Professional		$677.52	$923.89	$1,367.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.17 / $890.38 / $1,252.67	Professional		$788.17	$890.38	$1,252.67