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 $773.28 / $995.95 / $1,491.07	Professional		$773.28	$995.95	$1,491.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,757.01 / $3,076.97 / $6,192.64	Facility		$1,757.01	$3,076.97	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.67 / $1,027.25 / $1,440.86	Professional		$829.67	$1,027.25	$1,440.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $761.22 / $1,842.56 / $1,842.56	Facility		$761.22	$1,842.56	$1,842.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.86 / $1,147.29 / $1,815.13	Professional		$885.86	$1,147.29	$1,815.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,285.84 / $26,542.00 / $26,542.00	Facility		$6,285.84	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,689.76 / $6,873.52 / $7,568.63	Professional		$6,689.76	$6,873.52	$7,568.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.98 / $1,136.39 / $1,651.01	Facility		$887.98	$1,136.39	$1,651.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.75 / $1,331.39 / $4,663.00	Professional		$861.75	$1,331.39	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $813.14 / $935.51 / $1,090.93	Professional		$813.14	$935.51	$1,090.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $1,156.11 / $1,769.71	Facility		$887.16	$1,156.11	$1,769.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $884.63 / $1,192.58 / $1,816.97	Professional		$884.63	$1,192.58	$1,816.97
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 $715.46 / $949.52 / $1,416.78	Professional		$715.46	$949.52	$1,416.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.53 / $861.75 / $1,202.80	Professional		$757.53	$861.75	$1,202.80