Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.19 / $1,555.81 / $2,431.05	Professional		$1,363.19	$1,555.81	$2,431.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,718.00 / $18,208.09 / $36,442.51	Facility		$9,718.00	$18,208.09	$36,442.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.61 / $1,785.86 / $2,441.08	Professional		$1,405.61	$1,785.86	$2,441.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,345.27 / $1,376.73	Facility		$80.00	$1,345.27	$1,376.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.06 / $2,060.30 / $3,192.92	Professional		$1,557.06	$2,060.30	$3,192.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,066.20	Facility		$55.00	$55.00	$51,066.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,082.40 / $11,296.00 / $13,142.03	Professional		$11,082.40	$11,296.00	$13,142.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.47 / $1,737.57 / $3,080.24	Facility		$1,397.47	$1,737.57	$3,080.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.19 / $2,261.03 / $2,803.67	Professional		$1,884.19	$2,261.03	$2,803.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.50 / $2,620.32 / $2,663.59	Professional		$2,057.50	$2,620.32	$2,663.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,757.68 / $3,410.23	Facility		$1,409.80	$1,757.68	$3,410.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.61 / $2,144.55 / $3,264.63	Professional		$1,579.61	$2,144.55	$3,264.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,680.00 / $11,239.00 / $26,908.00	Facility		$4,680.00	$11,239.00	$26,908.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.94 / $1,691.59 / $2,681.74	Professional		$1,282.94	$1,691.59	$2,681.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $1,464.73 / $2,027.62	Professional		$1,286.48	$1,464.73	$2,027.62