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 $942.87 / $1,076.09 / $1,815.74	Professional		$942.87	$1,076.09	$1,815.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,925.53 / $18,446.09 / $35,583.12	Facility		$8,925.53	$18,446.09	$35,583.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.34 / $1,240.88 / $1,690.92	Professional		$980.34	$1,240.88	$1,690.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $951.49 / $971.37	Facility		$80.00	$951.49	$971.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.30 / $1,203.30 / $1,203.30	Facility		$1,203.30	$1,203.30	$1,203.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.51 / $1,413.06 / $2,173.94	Professional		$1,060.51	$1,413.06	$2,173.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,969.85 / $26,542.00 / $55,370.65	Facility		$4,969.85	$26,542.00	$55,370.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,667.68 / $7,823.44 / $9,143.10	Professional		$7,667.68	$7,823.44	$9,143.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,034.57 / $1,318.69 / $2,170.00	Facility		$1,034.57	$1,318.69	$2,170.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.20 / $1,568.64 / $1,945.11	Professional		$1,307.20	$1,568.64	$1,945.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.50 / $1,773.72 / $1,848.57	Professional		$1,320.50	$1,773.72	$1,848.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.57 / $1,332.81 / $2,228.69	Facility		$1,034.57	$1,332.81	$2,228.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,084.58 / $1,467.60 / $2,211.09	Professional		$1,084.58	$1,467.60	$2,211.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $12,900.00	Facility		$2,093.00	$6,002.00	$12,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.34 / $1,121.89 / $1,758.74	Professional		$829.34	$1,121.89	$1,758.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $892.52 / $1,014.38 / $1,406.51	Professional		$892.52	$1,014.38	$1,406.51