Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $14,016.00	Facility		$921.00	$4,028.00	$14,016.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.34 / $689.33 / $1,270.86	Professional		$583.34	$689.33	$1,270.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,438.23 / $9,451.48 / $18,364.59	Facility		$5,438.23	$9,451.48	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.03 / $655.70 / $747.08	Professional		$518.03	$655.70	$747.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $481.32 / $481.32 / $481.32	Facility		$481.32	$481.32	$481.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,664.56 / $7,664.56 / $7,664.56	Facility		$7,664.56	$7,664.56	$7,664.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.08 / $1,353.21 / $2,030.52	Professional		$574.08	$1,353.21	$2,030.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $30,285.75	Facility		$12,131.00	$26,542.00	$30,285.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,500.97 / $7,713.27 / $8,021.80	Professional		$7,500.97	$7,713.27	$8,021.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.99 / $1,285.89 / $2,339.69	Facility		$573.99	$1,285.89	$2,339.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.66 / $836.39 / $983.99	Professional		$710.66	$836.39	$983.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.30 / $1,278.30 / $1,278.30	Professional		$1,278.30	$1,278.30	$1,278.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.99 / $1,327.15 / $2,434.90	Facility		$573.99	$1,327.15	$2,434.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.52 / $1,363.31 / $2,149.82	Professional		$594.52	$1,363.31	$2,149.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,918.00 / $13,237.00	Facility		$2,093.00	$5,918.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.90 / $1,265.80 / $1,959.53	Professional		$878.90	$1,265.80	$1,959.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $530.25 / $738.00	Professional		$466.56	$530.25	$738.00