Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.61 / $3,224.00 / $10,893.00	Facility		$845.61	$3,224.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.73 / $1,029.30 / $1,750.04	Professional		$878.73	$1,029.30	$1,750.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,886.45 / $9,810.40 / $14,296.86	Facility		$3,886.45	$9,810.40	$14,296.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.25 / $1,083.41 / $1,625.35	Professional		$937.25	$1,083.41	$1,625.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $910.68 / $929.36	Facility		$80.00	$910.68	$929.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,150.55	Facility		$1,150.55	$1,150.55	$1,150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.09 / $1,371.62 / $2,099.91	Professional		$1,031.09	$1,371.62	$2,099.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,803.48 / $19,913.50 / $26,542.00	Facility		$3,803.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,335.68 / $7,482.80 / $8,747.33	Professional		$7,335.68	$7,482.80	$8,747.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.06 / $1,358.46 / $2,080.04	Facility		$993.06	$1,358.46	$2,080.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.59 / $1,500.72 / $1,860.89	Professional		$1,250.59	$1,500.72	$1,860.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,628.55 / $1,893.85 / $3,803.42	Professional		$1,628.55	$1,893.85	$3,803.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $995.32 / $1,362.31 / $2,123.19	Facility		$995.32	$1,362.31	$2,123.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.01 / $1,437.69 / $2,151.46	Professional		$1,039.01	$1,437.69	$2,151.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.34 / $1,087.04 / $1,751.17	Professional		$793.34	$1,087.04	$1,751.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $853.88 / $970.33 / $1,345.67	Professional		$853.88	$970.33	$1,345.67