Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,669.00 / $12,040.00	Facility		$983.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,664.02 / $1,850.41 / $2,726.33	Professional		$1,664.02	$1,850.41	$2,726.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,272.46 / $7,421.31 / $14,309.06	Facility		$4,272.46	$7,421.31	$14,309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,729.53 / $2,189.16 / $2,494.27	Professional		$1,729.53	$2,189.16	$2,494.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,591.12 / $1,591.12 / $1,591.12	Facility		$1,591.12	$1,591.12	$1,591.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,899.63 / $2,486.92 / $3,944.49	Professional		$1,899.63	$2,486.92	$3,944.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $13,960.05	Facility		$55.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $15,632.10	Professional		$14,283.70	$14,283.70	$15,632.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,806.37 / $2,410.29 / $4,092.13	Facility		$1,806.37	$2,410.29	$4,092.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,353.98 / $2,770.46 / $3,259.37	Professional		$2,353.98	$2,770.46	$3,259.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,357.90 / $2,357.90 / $2,357.90	Professional		$2,357.90	$2,357.90	$2,357.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,806.37 / $2,428.17 / $4,603.64	Facility		$1,806.37	$2,428.17	$4,603.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,899.63 / $2,518.91 / $3,995.71	Professional		$1,899.63	$2,518.91	$3,995.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.17 / $2,040.18 / $3,274.98	Professional		$1,541.17	$2,040.18	$3,274.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,545.43 / $1,758.92 / $2,443.81	Professional		$1,545.43	$1,758.92	$2,443.81