Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,500.00 / $12,040.00	Facility		$882.00	$3,500.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.22 / $1,737.15 / $3,198.86	Professional		$422.22	$1,737.15	$3,198.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,789.95 / $3,300.00 / $7,975.03	Facility		$1,789.95	$3,300.00	$7,975.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.77 / $1,699.97 / $3,012.22	Professional		$403.77	$1,699.97	$3,012.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $376.61 / $376.61 / $2,103.66	Facility		$376.61	$376.61	$2,103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,669.73 / $3,669.73 / $3,789.67	Facility		$3,669.73	$3,669.73	$3,789.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.71 / $1,979.81 / $3,467.73	Professional		$441.71	$1,979.81	$3,467.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,695.33	Facility		$55.00	$55.00	$3,695.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,619.24 / $14,563.92 / $17,114.70	Professional		$7,619.24	$14,563.92	$17,114.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.77 / $1,587.49 / $3,298.52	Facility		$437.77	$1,587.49	$3,298.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.73 / $2,162.96 / $3,342.78	Professional		$470.73	$2,162.96	$3,342.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.84 / $1,867.63 / $2,428.84	Professional		$413.84	$1,867.63	$2,428.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.77 / $1,680.87 / $3,513.62	Facility		$437.77	$1,680.87	$3,513.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.90 / $2,078.80 / $3,698.78	Professional		$449.90	$2,078.80	$3,698.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,825.68 / $2,434.23 / $3,532.33	Professional		$1,825.68	$2,434.23	$3,532.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,678.21 / $1,867.63 / $2,671.65	Professional		$1,678.21	$1,867.63	$2,671.65