Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,224.00 / $11,453.00	Facility		$880.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,081.68 / $1,775.44	Professional		$907.15	$1,081.68	$1,775.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,640.75 / $9,032.74 / $17,826.21	Facility		$4,640.75	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.42 / $1,249.83 / $1,703.13	Professional		$987.42	$1,249.83	$1,703.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $973.87 / $987.61	Facility		$80.00	$973.87	$987.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.36 / $1,203.36 / $1,203.36	Facility		$1,203.36	$1,203.36	$1,203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.86 / $1,364.18 / $2,064.31	Professional		$1,020.86	$1,364.18	$2,064.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,958.48 / $19,913.50 / $26,542.00	Facility		$5,958.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,678.80 / $7,865.52 / $9,147.29	Professional		$7,678.80	$7,865.52	$9,147.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.29 / $1,284.06 / $1,997.37	Facility		$1,012.29	$1,284.06	$1,997.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.01 / $1,569.62 / $1,946.32	Professional		$1,308.01	$1,569.62	$1,946.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.10 / $1,407.10 / $1,407.10	Professional		$1,407.10	$1,407.10	$1,407.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.29 / $1,285.11 / $2,042.83	Facility		$1,012.29	$1,285.11	$2,042.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,026.55 / $1,418.57 / $2,113.69	Professional		$1,026.55	$1,418.57	$2,113.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.92 / $1,081.88 / $1,716.10	Professional		$800.92	$1,081.88	$1,716.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $1,012.29 / $1,409.05	Professional		$893.08	$1,012.29	$1,409.05