Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,849.00 / $13,004.00	Facility		$983.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.35 / $916.57 / $1,333.56	Professional		$833.35	$916.57	$1,333.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.00 / $7,469.82 / $14,454.58	Facility		$4,149.00	$7,469.82	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.76 / $1,081.92 / $1,232.71	Professional		$854.76	$1,081.92	$1,232.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $797.41 / $797.41 / $797.41	Facility		$797.41	$797.41	$797.41
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 $929.19 / $1,218.07 / $1,909.59	Professional		$929.19	$1,218.07	$1,909.59
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 $7,141.02 / $7,141.02 / $7,699.65	Professional		$7,141.02	$7,141.02	$7,699.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $880.27 / $1,186.21 / $2,098.80	Facility		$880.27	$1,186.21	$2,098.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.81 / $1,361.47 / $1,601.73	Professional		$1,156.81	$1,361.47	$1,601.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.90 / $1,181.90 / $1,181.90	Professional		$1,181.90	$1,181.90	$1,181.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.27 / $1,191.69 / $2,340.00	Facility		$880.27	$1,191.69	$2,340.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $929.19 / $1,237.84 / $1,981.52	Professional		$929.19	$1,237.84	$1,981.52
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 $751.24 / $1,030.24 / $1,596.39	Professional		$751.24	$1,030.24	$1,596.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $759.46 / $860.36 / $1,202.42	Professional		$759.46	$860.36	$1,202.42