Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,729.00	Facility		$993.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $1,076.69 / $1,696.88	Professional		$814.70	$1,076.69	$1,696.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.58 / $3,234.98 / $6,397.23	Facility		$1,718.58	$3,234.98	$6,397.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.17 / $1,107.10 / $1,516.32	Professional		$894.17	$1,107.10	$1,516.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $830.08 / $830.08 / $867.18	Facility		$830.08	$830.08	$867.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.80 / $1,181.88 / $1,724.26	Professional		$919.80	$1,181.88	$1,724.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,129.92 / $7,377.92 / $8,095.20	Professional		$7,129.92	$7,377.92	$8,095.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.43 / $1,153.07 / $1,688.50	Facility		$919.43	$1,153.07	$1,688.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $917.23 / $1,421.15 / $4,663.00	Professional		$917.23	$1,421.15	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.00 / $1,064.00 / $1,064.00	Professional		$1,064.00	$1,064.00	$1,064.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.99 / $1,163.55 / $1,856.38	Facility		$926.99	$1,163.55	$1,856.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.21 / $1,245.33 / $1,847.93	Professional		$919.21	$1,245.33	$1,847.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.12 / $995.76 / $1,459.74	Professional		$751.12	$995.76	$1,459.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.60 / $917.23 / $1,284.60	Professional		$808.60	$917.23	$1,284.60