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 $992.24 / $1,118.02 / $1,852.33	Professional		$992.24	$1,118.02	$1,852.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,085.44 / $1,817.58 / $4,943.79	Facility		$1,085.44	$1,817.58	$4,943.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.83 / $1,421.16 / $2,042.10	Professional		$1,014.83	$1,421.16	$2,042.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $929.46 / $944.90	Facility		$80.00	$929.46	$944.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,243.70	Facility		$1,243.70	$1,243.70	$1,243.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.76 / $1,481.17 / $2,258.27	Professional		$1,106.76	$1,481.17	$2,258.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,996.79	Facility		$55.00	$55.00	$9,996.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,299.59 / $10,299.59 / $10,299.59	Professional		$10,299.59	$10,299.59	$10,299.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.95 / $1,402.79 / $2,307.33	Facility		$1,062.95	$1,402.79	$2,307.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.49 / $1,600.19 / $1,984.23	Professional		$1,333.49	$1,600.19	$1,984.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.90 / $1,334.90 / $1,334.90	Professional		$1,334.90	$1,334.90	$1,334.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.23 / $1,403.32 / $2,367.78	Facility		$1,064.23	$1,403.32	$2,367.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.18 / $1,557.59 / $2,361.04	Professional		$1,109.18	$1,557.59	$2,361.04
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 $897.04 / $1,206.14 / $1,905.15	Professional		$897.04	$1,206.14	$1,905.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $910.47 / $1,038.39 / $1,439.06	Professional		$910.47	$1,038.39	$1,439.06