Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,213.00 / $10,836.00	Facility		$797.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.23 / $833.50 / $1,208.55	Professional		$759.23	$833.50	$1,208.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.40 / $4,164.67 / $7,622.13	Facility		$2,226.40	$4,164.67	$7,622.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $982.96 / $1,119.96	Professional		$776.58	$982.96	$1,119.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $726.69 / $726.69	Facility		$726.69	$726.69	$726.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.50 / $1,104.07 / $1,690.19	Professional		$837.50	$1,104.07	$1,690.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,993.52 / $6,223.36 / $6,988.28	Professional		$5,993.52	$6,223.36	$6,988.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $797.86 / $1,063.52 / $1,803.10	Facility		$797.86	$1,063.52	$1,803.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.58 / $1,235.28 / $1,453.27	Professional		$1,049.58	$1,235.28	$1,453.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.40 / $1,012.40 / $1,012.40	Professional		$1,012.40	$1,012.40	$1,012.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.86 / $1,078.01 / $2,001.65	Facility		$797.86	$1,078.01	$2,001.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.08 / $1,123.86 / $1,776.76	Professional		$842.08	$1,123.86	$1,776.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.22 / $935.30 / $1,428.07	Professional		$680.22	$935.30	$1,428.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $689.07 / $779.71 / $1,091.38	Professional		$689.07	$779.71	$1,091.38