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 $967.11 / $1,103.77 / $1,860.97	Professional		$967.11	$1,103.77	$1,860.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $18,089.08 / $35,940.14	Facility		$8,449.50	$18,089.08	$35,940.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.42 / $1,236.18 / $1,733.92	Professional		$998.42	$1,236.18	$1,733.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $974.43 / $995.06	Facility		$80.00	$974.43	$995.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,234.82 / $1,234.82 / $1,234.82	Facility		$1,234.82	$1,234.82	$1,234.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.08 / $1,454.63 / $2,230.19	Professional		$1,086.08	$1,454.63	$2,230.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,092.75 / $26,542.00 / $50,926.60	Facility		$5,092.75	$26,542.00	$50,926.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,976.49 / $8,025.36 / $9,366.15	Professional		$7,976.49	$8,025.36	$9,366.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.25 / $1,378.33 / $2,189.13	Facility		$1,060.25	$1,378.33	$2,189.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.55 / $1,607.46 / $1,993.25	Professional		$1,339.55	$1,607.46	$1,993.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.27 / $1,819.39 / $3,921.98	Professional		$1,171.27	$1,819.39	$3,921.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,060.25 / $1,385.33 / $2,237.04	Facility		$1,060.25	$1,385.33	$2,237.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.58 / $1,510.34 / $2,266.34	Professional		$1,110.58	$1,510.34	$2,266.34
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 $851.03 / $1,177.40 / $1,840.97	Professional		$851.03	$1,177.40	$1,840.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.61 / $1,039.65 / $1,441.38	Professional		$914.61	$1,039.65	$1,441.38