Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.27 / $1,535.84 / $2,555.94	Facility		$1,120.27	$1,535.84	$2,555.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.56 / $1,629.15 / $2,648.47	Professional		$1,264.56	$1,629.15	$2,648.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.16 / $1,320.26 / $3,986.00	Facility		$750.16	$1,320.26	$3,986.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.15 / $1,594.47 / $2,631.14	Professional		$1,204.15	$1,594.47	$2,631.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,146.54 / $1,167.60	Facility		$80.00	$1,146.54	$1,167.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,281.71 / $2,281.71 / $2,281.71	Facility		$2,281.71	$2,281.71	$2,281.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.46 / $2,165.33 / $3,331.24	Professional		$1,463.46	$2,165.33	$3,331.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,584.59	Facility		$55.00	$55.00	$6,584.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,800.64 / $12,360.72 / $14,050.73	Professional		$9,800.64	$12,360.72	$14,050.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.24 / $2,107.80 / $3,192.39	Facility		$1,364.24	$2,107.80	$3,192.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.22 / $2,219.63 / $2,959.51	Professional		$1,686.22	$2,219.63	$2,959.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,365.10 / $2,365.10 / $2,365.10	Professional		$2,365.10	$2,365.10	$2,365.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,364.24 / $2,121.58 / $3,195.32	Facility		$1,364.24	$2,121.58	$3,195.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,481.31 / $2,286.23 / $3,425.31	Professional		$1,481.31	$2,286.23	$3,425.31
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 $1,438.97 / $1,940.16 / $3,057.81	Professional		$1,438.97	$1,940.16	$3,057.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,403.25 / $1,597.47 / $2,225.87	Professional		$1,403.25	$1,597.47	$2,225.87