Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,856.00 / $13,401.00	Facility		$1,093.00	$3,856.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.99 / $1,752.53 / $2,757.43	Professional		$1,460.99	$1,752.53	$2,757.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.87 / $3,152.05 / $43,649.33	Facility		$1,744.87	$3,152.05	$43,649.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.96 / $1,995.83 / $2,799.44	Professional		$1,611.96	$1,995.83	$2,799.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,533.15 / $1,573.57	Facility		$80.00	$1,533.15	$1,573.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.73 / $1,977.73 / $1,977.73	Facility		$1,977.73	$1,977.73	$1,977.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.47 / $2,269.82 / $3,412.47	Professional		$1,661.47	$2,269.82	$3,412.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $17,889.66	Facility		$55.00	$5,000.00	$17,889.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,625.14 / $13,625.14 / $14,943.08	Professional		$13,625.14	$13,625.14	$14,943.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.99 / $2,006.30 / $3,421.89	Facility		$1,628.99	$2,006.30	$3,421.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.48 / $2,563.79 / $3,179.09	Professional		$2,136.48	$2,563.79	$3,179.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.30 / $1,583.30 / $1,583.30	Professional		$1,583.30	$1,583.30	$1,583.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,633.29 / $2,020.97 / $3,580.14	Facility		$1,633.29	$2,020.97	$3,580.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.82 / $2,360.61 / $3,631.71	Professional		$1,698.82	$2,360.61	$3,631.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $30,113.00	Facility		$4,600.00	$9,027.00	$30,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.94 / $1,919.42 / $3,030.48	Professional		$1,395.94	$1,919.42	$3,030.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,458.74 / $1,661.47 / $2,296.73	Professional		$1,458.74	$1,661.47	$2,296.73