Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.36 / $3,682.00 / $12,826.00	Facility		$934.36	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.19 / $1,045.65 / $1,705.92	Professional		$916.19	$1,045.65	$1,705.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.24 / $7,421.31 / $14,745.61	Facility		$4,165.24	$7,421.31	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.88 / $1,129.96 / $1,559.15	Professional		$906.88	$1,129.96	$1,559.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $888.18 / $902.83	Facility		$80.00	$888.18	$902.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $1,146.48	Facility		$1,146.48	$1,146.48	$1,146.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.41 / $1,376.17 / $2,105.86	Professional		$1,042.41	$1,376.17	$2,105.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,778.46 / $13,778.46 / $13,778.46	Professional		$13,778.46	$13,778.46	$13,778.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.91 / $1,269.56 / $2,125.21	Facility		$988.91	$1,269.56	$2,125.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.66 / $1,485.20 / $1,841.64	Professional		$1,237.66	$1,485.20	$1,841.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.70 / $1,137.70 / $1,137.70	Professional		$1,137.70	$1,137.70	$1,137.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.87 / $1,270.43 / $2,365.50	Facility		$989.87	$1,270.43	$2,365.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,049.28 / $1,433.40 / $2,150.35	Professional		$1,049.28	$1,433.40	$2,150.35
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 $838.45 / $1,117.93 / $1,755.36	Professional		$838.45	$1,117.93	$1,755.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.05 / $964.82 / $1,339.24	Professional		$845.05	$964.82	$1,339.24