Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,895.00 / $13,401.00	Facility		$969.00	$3,895.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.22 / $987.48 / $1,665.79	Professional		$865.22	$987.48	$1,665.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.74 / $9,092.56 / $18,125.31	Facility		$4,725.74	$9,092.56	$18,125.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.87 / $1,106.73 / $1,552.35	Professional		$893.87	$1,106.73	$1,552.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $875.61 / $893.14	Facility		$80.00	$875.61	$893.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.68 / $1,103.68 / $1,103.68	Facility		$1,103.68	$1,103.68	$1,103.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.31 / $1,297.08 / $1,993.53	Professional		$969.31	$1,297.08	$1,993.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,471.58 / $19,913.50 / $26,542.00	Facility		$5,471.58	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,220.28 / $7,220.28 / $8,388.15	Professional		$7,220.28	$7,220.28	$8,388.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $1,237.60 / $2,002.86	Facility		$949.22	$1,237.60	$2,002.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.65 / $1,439.58 / $1,785.08	Professional		$1,199.65	$1,439.58	$1,785.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.80 / $1,289.80 / $1,289.80	Professional		$1,289.80	$1,289.80	$1,289.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $949.82 / $1,238.08 / $2,140.55	Facility		$949.82	$1,238.08	$2,140.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.33 / $1,351.25 / $2,024.80	Professional		$994.33	$1,351.25	$2,024.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.78 / $1,062.20 / $1,634.61	Professional		$775.78	$1,062.20	$1,634.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $819.09 / $930.61 / $1,291.10	Professional		$819.09	$930.61	$1,291.10