Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $12,589.25	Facility		$1,778.28	$3,981.07	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,041.74 / $2,630.27	Professional		$457.09	$2,041.74	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $12,302.69	Facility		$1,778.28	$3,981.07	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Professional		$3,388.44	$3,388.44	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $20,417.38	Professional		$13,803.84	$20,417.38	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $5,128.61	Facility		$1,862.09	$2,754.23	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,311.31	Professional		$1,548.82	$2,187.76	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $5,888.44	Professional		$2,754.23	$2,951.21	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $7,585.78	Facility		$1,659.59	$2,754.23	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,786.30	Professional		$2,454.71	$3,019.95	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,754.23	Facility		$1,000.00	$1,148.15	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,905.46	Professional		$1,148.15	$1,148.15	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,754.23 / $2,754.23	Professional		$204.17	$2,754.23	$2,754.23