Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,768.00 / $7,542.00	Facility		$803.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.49 / $1,065.89 / $1,692.53	Professional		$831.49	$1,065.89	$1,692.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.11 / $3,194.54 / $6,051.43	Facility		$1,860.11	$3,194.54	$6,051.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.75 / $1,099.16 / $1,505.43	Professional		$887.75	$1,099.16	$1,505.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $828.30 / $828.30 / $865.33	Facility		$828.30	$828.30	$865.33
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 $916.89 / $1,206.51 / $1,766.37	Professional		$916.89	$1,206.51	$1,766.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $16,394.00 / $16,394.00	Facility		$6,887.55	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,111.92 / $7,347.12 / $8,077.20	Professional		$7,111.92	$7,347.12	$8,077.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.38 / $1,131.00 / $1,725.22	Facility		$905.38	$1,131.00	$1,725.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.88 / $1,417.74 / $4,663.00	Professional		$914.88	$1,417.74	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $824.19 / $956.30 / $1,956.06	Professional		$824.19	$956.30	$1,956.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.92 / $1,151.30 / $1,837.76	Facility		$906.92	$1,151.30	$1,837.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.89 / $1,254.69 / $1,851.20	Professional		$916.89	$1,254.69	$1,851.20
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 $756.72 / $1,007.98 / $1,476.12	Professional		$756.72	$1,007.98	$1,476.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $914.88 / $1,281.57	Professional		$806.67	$914.88	$1,281.57