Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.92 / $2,168.39 / $3,654.80	Professional		$1,899.92	$2,168.39	$3,654.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,971.77 / $2,495.78 / $3,400.95	Professional		$1,971.77	$2,495.78	$3,400.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,869.38 / $1,922.84	Facility		$80.00	$1,869.38	$1,922.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,170.96 / $2,884.10 / $4,454.93	Professional		$2,170.96	$2,884.10	$4,454.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,836.26	Facility		$55.00	$55.00	$26,836.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,286.77 / $31,286.77 / $31,286.77	Professional		$31,286.77	$31,286.77	$31,286.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,082.63 / $2,713.20 / $4,593.35	Facility		$2,082.63	$2,713.20	$4,593.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,623.30 / $3,147.96 / $3,903.47	Professional		$2,623.30	$3,147.96	$3,903.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,764.60 / $2,764.60 / $2,764.60	Professional		$2,764.60	$2,764.60	$2,764.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,082.63 / $2,714.73 / $4,793.54	Facility		$2,082.63	$2,714.73	$4,793.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,175.56 / $3,003.36 / $4,564.72	Professional		$2,175.56	$3,003.36	$4,564.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.24 / $2,346.82 / $3,697.57	Professional		$1,738.24	$2,346.82	$3,697.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,791.13 / $2,041.79 / $2,819.14	Professional		$1,791.13	$2,041.79	$2,819.14