Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,620.00 / $12,480.00	Facility		$983.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.09 / $1,126.58 / $1,899.91	Professional		$987.09	$1,126.58	$1,899.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.60 / $1,949.60 / $12,401.31	Facility		$1,106.60	$1,949.60	$12,401.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.58 / $1,298.15 / $1,768.96	Professional		$1,025.58	$1,298.15	$1,768.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $993.75 / $1,015.04	Facility		$80.00	$993.75	$1,015.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,260.32 / $1,260.32	Facility		$1,260.32	$1,260.32	$1,260.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.41 / $1,480.18 / $2,295.41	Professional		$1,106.41	$1,480.18	$2,295.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,916.04	Facility		$55.00	$55.00	$8,916.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,741.03 / $8,741.03 / $9,562.50	Professional		$8,741.03	$8,741.03	$9,562.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.63 / $1,406.90 / $2,202.27	Facility		$1,082.63	$1,406.90	$2,202.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.45 / $1,640.94 / $2,034.77	Professional		$1,367.45	$1,640.94	$2,034.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.00 / $1,933.28 / $4,144.79	Professional		$1,258.00	$1,933.28	$4,144.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,082.63 / $1,406.90 / $2,237.34	Facility		$1,082.63	$1,406.90	$2,237.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,135.20 / $1,544.97 / $2,315.48	Professional		$1,135.20	$1,544.97	$2,315.48
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 $886.88 / $1,158.48 / $1,833.18	Professional		$886.88	$1,158.48	$1,833.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $1,061.40 / $1,471.27	Professional		$933.66	$1,061.40	$1,471.27