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 $863.39 / $1,160.71 / $1,820.99	Professional		$863.39	$1,160.71	$1,820.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.46 / $4,690.59 / $9,745.44	Facility		$2,595.46	$4,690.59	$9,745.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.73 / $1,190.76 / $1,630.89	Professional		$961.73	$1,190.76	$1,630.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $898.65 / $898.65 / $938.90	Facility		$898.65	$898.65	$938.90
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 $981.65 / $1,269.84 / $1,745.85	Professional		$981.65	$1,269.84	$1,745.85
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 $7,653.04 / $7,917.52 / $8,707.87	Professional		$7,653.04	$7,917.52	$8,707.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.07 / $1,160.71 / $1,727.59	Facility		$931.07	$1,160.71	$1,727.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $984.32 / $1,526.91 / $5,306.00	Professional		$984.32	$1,526.91	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $994.10 / $994.10	Professional		$994.10	$994.10	$994.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.07 / $1,175.90 / $2,000.00	Facility		$931.07	$1,175.90	$2,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.32 / $1,301.59 / $1,968.97	Professional		$984.32	$1,301.59	$1,968.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,143.00 / $10,476.00	Facility		$1,693.00	$5,143.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.29 / $1,035.05 / $1,561.58	Professional		$776.29	$1,035.05	$1,561.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $868.78 / $984.32 / $1,380.40	Professional		$868.78	$984.32	$1,380.40