Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.08 / $3,682.00 / $12,826.00	Facility		$953.08	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.37 / $1,050.42 / $1,773.44	Professional		$920.37	$1,050.42	$1,773.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $10,049.68 / $22,706.00	Facility		$5,323.94	$10,049.68	$22,706.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.26 / $1,211.66 / $1,651.10	Professional		$957.26	$1,211.66	$1,651.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $933.16 / $951.56	Facility		$80.00	$933.16	$951.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,175.09	Facility		$1,175.09	$1,175.09	$1,175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.39 / $1,379.10 / $2,121.69	Professional		$1,024.39	$1,379.10	$2,121.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,796.51 / $26,542.00 / $28,275.55	Facility		$6,796.51	$26,542.00	$28,275.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,494.88 / $7,648.00 / $8,931.83	Professional		$7,494.88	$7,648.00	$8,931.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.07 / $1,283.44 / $1,939.83	Facility		$1,001.07	$1,283.44	$1,939.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.29 / $1,532.75 / $1,900.60	Professional		$1,277.29	$1,532.75	$1,900.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.70 / $1,351.70 / $1,351.70	Professional		$1,351.70	$1,351.70	$1,351.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.84 / $1,287.98 / $2,047.65	Facility		$1,000.84	$1,287.98	$2,047.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,058.60 / $1,431.54 / $2,149.71	Professional		$1,058.60	$1,431.54	$2,149.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $1,109.23 / $1,733.50	Professional		$809.04	$1,109.23	$1,733.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.10 / $990.75 / $1,374.66	Professional		$872.10	$990.75	$1,374.66