Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.25 / $3,682.00 / $12,377.00	Facility		$945.25	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.78 / $1,041.77 / $1,757.60	Professional		$912.78	$1,041.77	$1,757.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,032.74 / $19,342.15	Facility		$5,144.47	$9,032.74	$19,342.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.47 / $1,197.44 / $1,636.77	Professional		$942.47	$1,197.44	$1,636.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $922.66 / $941.43	Facility		$80.00	$922.66	$941.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,165.18	Facility		$1,165.18	$1,165.18	$1,165.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.10 / $1,368.09 / $2,126.65	Professional		$1,019.10	$1,368.09	$2,126.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,772.84 / $19,913.50 / $26,542.00	Facility		$5,772.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,425.84 / $7,580.80 / $8,849.54	Professional		$7,425.84	$7,580.80	$8,849.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.54 / $1,282.94 / $2,061.87	Facility		$1,001.54	$1,282.94	$2,061.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.56 / $1,518.68 / $1,883.16	Professional		$1,265.56	$1,518.68	$1,883.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.80 / $1,419.80 / $1,419.80	Professional		$1,419.80	$1,419.80	$1,419.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,001.86 / $1,305.04 / $2,115.55	Facility		$1,001.86	$1,305.04	$2,115.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,427.14 / $2,152.48	Professional		$1,050.28	$1,427.14	$2,152.48
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 $819.62 / $1,110.54 / $1,739.50	Professional		$819.62	$1,110.54	$1,739.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $981.90 / $1,361.91	Professional		$864.10	$981.90	$1,361.91