Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.26 / $3,682.00 / $12,377.00	Facility		$985.26	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.53 / $1,180.71 / $1,878.92	Professional		$1,001.53	$1,180.71	$1,878.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,352.55 / $8,294.46	Facility		$2,436.33	$4,352.55	$8,294.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.33 / $1,213.40 / $1,779.05	Professional		$912.33	$1,213.40	$1,779.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,015.15 / $1,015.15	Facility		$80.00	$1,015.15	$1,015.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,523.10 / $2,235.30	Professional		$1,084.98	$1,523.10	$2,235.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,276.78 / $11,500.00 / $26,542.00	Facility		$7,276.78	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,573.52 / $8,619.12 / $9,334.12	Professional		$8,573.52	$8,619.12	$9,334.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,101.90 / $1,415.82 / $2,186.42	Facility		$1,101.90	$1,415.82	$2,186.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.58 / $1,655.49 / $2,052.81	Professional		$1,379.58	$1,655.49	$2,052.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.00 / $1,549.00 / $1,549.00	Professional		$1,549.00	$1,549.00	$1,549.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,103.02 / $1,437.71 / $2,259.25	Facility		$1,103.02	$1,437.71	$2,259.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.53 / $1,565.46 / $2,406.25	Professional		$1,094.53	$1,565.46	$2,406.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.76 / $1,203.65 / $1,915.03	Professional		$893.76	$1,203.65	$1,915.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.94 / $1,073.54 / $1,498.24	Professional		$941.94	$1,073.54	$1,498.24