Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,444.13 / $2,315.37	Professional		$1,213.70	$1,444.13	$2,315.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.30 / $2,155.07 / $4,838.74	Facility		$1,206.30	$2,155.07	$4,838.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.54 / $1,841.60 / $3,353.73	Professional		$1,337.54	$1,841.60	$3,353.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,302.91 / $1,322.24	Facility		$80.00	$1,302.91	$1,322.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.82 / $1,612.82 / $1,612.82	Facility		$1,612.82	$1,612.82	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.60 / $1,840.04 / $2,691.39	Professional		$1,332.60	$1,840.04	$2,691.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,319.20 / $11,500.00 / $26,542.00	Facility		$5,319.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,279.20 / $10,561.36 / $12,246.53	Professional		$10,279.20	$10,561.36	$12,246.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.17 / $1,644.31 / $2,558.17	Facility		$1,335.17	$1,644.31	$2,558.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.16 / $2,101.40 / $2,605.73	Professional		$1,751.16	$2,101.40	$2,605.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.40 / $1,794.20 / $2,435.14	Professional		$1,528.40	$1,794.20	$2,435.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.31 / $1,650.03 / $2,651.84	Facility		$1,335.31	$1,650.03	$2,651.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,378.49 / $1,900.35 / $2,863.88	Professional		$1,378.49	$1,900.35	$2,863.88
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.80 / $1,471.73 / $2,292.66	Professional		$1,103.80	$1,471.73	$2,292.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,195.65 / $1,355.74 / $1,886.13	Professional		$1,195.65	$1,355.74	$1,886.13