Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.63 / $1,630.56 / $2,630.43	Professional		$1,423.63	$1,630.56	$2,630.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.66 / $2,927.15 / $14,472.93	Facility		$1,655.66	$2,927.15	$14,472.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.06 / $2,238.69 / $4,223.12	Professional		$1,460.06	$2,238.69	$4,223.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,396.05 / $1,410.58	Facility		$80.00	$1,396.05	$1,410.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.11 / $2,159.44 / $3,321.36	Professional		$1,575.11	$2,159.44	$3,321.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,426.72	Facility		$55.00	$55.00	$14,426.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,441.12 / $15,441.12 / $15,441.12	Professional		$15,441.12	$15,441.12	$15,441.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.35 / $1,992.79 / $3,351.16	Facility		$1,530.35	$1,992.79	$3,351.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,914.10 / $2,296.92 / $2,848.18	Professional		$1,914.10	$2,296.92	$2,848.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.60 / $1,871.60 / $1,871.60	Professional		$1,871.60	$1,871.60	$1,871.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,530.63 / $1,995.59 / $3,680.95	Facility		$1,530.63	$1,995.59	$3,680.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,583.74 / $2,231.11 / $3,395.30	Professional		$1,583.74	$2,231.11	$3,395.30
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 $1,304.71 / $1,739.61 / $2,710.95	Professional		$1,304.71	$1,739.61	$2,710.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,306.90 / $1,487.41 / $2,072.34	Professional		$1,306.90	$1,487.41	$2,072.34