Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,895.00 / $13,689.00	Facility		$983.00	$3,895.00	$13,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $916.46 / $1,342.45	Professional		$828.10	$916.46	$1,342.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,503.08	Facility		$4,122.95	$7,421.31	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.38 / $1,082.70 / $1,233.59	Professional		$855.38	$1,082.70	$1,233.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $796.24 / $796.24 / $796.24	Facility		$796.24	$796.24	$796.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.39 / $1,245.51 / $1,953.60	Professional		$935.39	$1,245.51	$1,953.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,284.73 / $10,284.73 / $10,284.73	Professional		$10,284.73	$10,284.73	$10,284.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.31 / $1,187.58 / $2,473.81	Facility		$891.31	$1,187.58	$2,473.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.43 / $1,366.92 / $1,608.14	Professional		$1,161.43	$1,366.92	$1,608.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.20 / $1,320.20 / $1,320.20	Professional		$1,320.20	$1,320.20	$1,320.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.31 / $1,232.82 / $2,473.81	Facility		$891.31	$1,232.82	$2,473.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.70 / $1,264.45 / $2,022.92	Professional		$940.70	$1,264.45	$2,022.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.94 / $1,055.30 / $1,684.52	Professional		$763.94	$1,055.30	$1,684.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.50 / $866.10 / $1,206.48	Professional		$762.50	$866.10	$1,206.48