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 $975.87 / $1,133.85 / $1,886.72	Professional		$975.87	$1,133.85	$1,886.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,922.19 / $9,087.75	Facility		$1,100.00	$1,922.19	$9,087.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.29 / $1,307.89 / $1,782.23	Professional		$1,033.29	$1,307.89	$1,782.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,006.50 / $1,027.34	Facility		$80.00	$1,006.50	$1,027.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.05 / $1,493.04 / $2,274.36	Professional		$1,108.05	$1,493.04	$2,274.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,996.26	Facility		$55.00	$55.00	$8,996.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $8,557.67 / $9,647.33	Professional		$8,557.67	$8,557.67	$9,647.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.82 / $1,331.69 / $2,312.33	Facility		$1,069.82	$1,331.69	$2,312.33
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 $1,285.40 / $1,285.40 / $1,285.40	Professional		$1,285.40	$1,285.40	$1,285.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.82 / $1,342.98 / $2,400.00	Facility		$1,069.82	$1,342.98	$2,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,144.77 / $1,538.30 / $2,331.25	Professional		$1,144.77	$1,538.30	$2,331.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.17 / $1,168.22 / $1,845.79	Professional		$876.17	$1,168.22	$1,845.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.94 / $1,070.57 / $1,484.47	Professional		$941.94	$1,070.57	$1,484.47