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 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.88 / $1,400.25 / $2,291.12	Professional		$1,226.88	$1,400.25	$2,291.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.22 / $1,614.11 / $2,199.52	Professional		$1,275.22	$1,614.11	$2,199.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,226.68 / $1,255.48	Facility		$80.00	$1,226.68	$1,255.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility		$1,568.44	$1,568.44	$1,568.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.74 / $1,851.18 / $2,835.92	Professional		$1,370.74	$1,851.18	$2,835.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,306.40	Facility		$55.00	$55.00	$25,306.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,963.04 / $10,168.40 / $11,883.75	Professional		$9,963.04	$10,168.40	$11,883.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.84 / $1,698.12 / $2,828.15	Facility		$1,323.84	$1,698.12	$2,828.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.00 / $2,038.80 / $2,528.11	Professional		$1,699.00	$2,038.80	$2,528.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.50 / $1,688.50 / $1,688.50	Professional		$1,688.50	$1,688.50	$1,688.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,333.57 / $1,701.45 / $3,000.00	Facility		$1,333.57	$1,701.45	$3,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,404.06 / $1,904.53 / $2,871.18	Professional		$1,404.06	$1,904.53	$2,871.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.11 / $1,497.90 / $2,330.65	Professional		$1,085.11	$1,497.90	$2,330.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,160.04 / $1,319.79 / $1,827.25	Professional		$1,160.04	$1,319.79	$1,827.25