Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $11,748.98	Facility		$1,548.82	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
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 $1,659.59 / $2,630.27 / $11,481.54	Facility		$1,659.59	$2,630.27	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Professional		$3,162.28	$3,162.28	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $19,498.45	Professional		$12,882.50	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,786.30	Facility		$1,949.84	$2,570.40	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,630.27	Professional		$1,548.82	$2,041.74	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $5,495.41	Professional		$2,570.40	$2,754.23	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $7,079.46	Facility		$1,819.70	$2,570.40	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $4,466.84	Professional		$79.43	$2,691.53	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,570.40	Facility		$933.25	$1,071.52	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,778.28	Professional		$1,071.52	$1,071.52	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,677.35	Professional		$2,570.40	$2,570.40	$4,677.35