Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.32 / $1,118.64 / $1,831.57	Professional		$986.32	$1,118.64	$1,831.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.58 / $1,821.60 / $6,511.63	Facility		$1,076.58	$1,821.60	$6,511.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.55 / $1,184.43 / $1,736.57	Professional		$890.55	$1,184.43	$1,736.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $949.98 / $956.24	Facility		$80.00	$949.98	$956.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.75 / $1,428.90 / $2,262.19	Professional		$1,096.75	$1,428.90	$2,262.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $7,468.62	Facility		$55.00	$2,000.00	$7,468.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,883.04 / $8,097.76 / $9,176.18	Professional		$7,883.04	$8,097.76	$9,176.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.66 / $1,376.39 / $2,138.66	Facility		$1,027.66	$1,376.39	$2,138.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.61 / $1,591.94 / $1,974.00	Professional		$1,326.61	$1,591.94	$1,974.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.59 / $1,111.59 / $1,111.59	Professional		$1,111.59	$1,111.59	$1,111.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,380.43 / $2,185.03	Facility		$1,032.25	$1,380.43	$2,185.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.19 / $1,544.76 / $2,375.94	Professional		$1,111.19	$1,544.76	$2,375.94
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 $886.36 / $1,218.59 / $1,883.52	Professional		$886.36	$1,218.59	$1,883.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $905.78 / $1,027.66 / $1,433.52	Professional		$905.78	$1,027.66	$1,433.52