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 $968.86 / $1,119.70 / $1,864.88	Professional		$968.86	$1,119.70	$1,864.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,204.30 / $9,272.02 / $17,945.84	Facility		$5,204.30	$9,272.02	$17,945.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.94 / $1,238.07 / $1,736.57	Professional		$999.94	$1,238.07	$1,736.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $975.73 / $996.44	Facility		$80.00	$975.73	$996.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $1,236.73	Facility		$1,236.73	$1,236.73	$1,236.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,454.36 / $2,254.27	Professional		$1,090.66	$1,454.36	$2,254.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,124.50 / $25,237.95 / $26,542.00	Facility		$6,124.50	$25,237.95	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,875.20 / $8,038.24 / $9,387.60	Professional		$7,875.20	$8,038.24	$9,387.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.40 / $1,388.35 / $2,194.08	Facility		$1,062.40	$1,388.35	$2,194.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.38 / $1,610.85 / $1,997.45	Professional		$1,342.38	$1,610.85	$1,997.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.38 / $1,882.23 / $3,990.21	Professional		$1,068.38	$1,882.23	$3,990.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.67 / $1,390.86 / $2,250.23	Facility		$1,062.67	$1,390.86	$2,250.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,114.31 / $1,521.42 / $2,282.81	Professional		$1,114.31	$1,521.42	$2,282.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.20 / $1,169.42 / $1,825.71	Professional		$859.20	$1,169.42	$1,825.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $916.54 / $1,041.83 / $1,444.35	Professional		$916.54	$1,041.83	$1,444.35