Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.44 / $1,657.68 / $2,796.80	Professional		$1,452.44	$1,657.68	$2,796.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.63 / $2,891.06 / $14,379.59	Facility		$1,653.63	$2,891.06	$14,379.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,509.76 / $1,910.99 / $2,604.06	Professional		$1,509.76	$1,910.99	$2,604.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,445.80 / $1,482.27	Facility		$80.00	$1,445.80	$1,482.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.29 / $2,172.98 / $3,375.76	Professional		$1,626.29	$2,172.98	$3,375.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,093.92	Facility		$55.00	$55.00	$13,093.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,786.96 / $12,029.60 / $14,055.75	Professional		$11,786.96	$12,029.60	$14,055.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,595.23 / $2,031.20 / $3,142.75	Facility		$1,595.23	$2,031.20	$3,142.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.93 / $2,411.91 / $2,990.77	Professional		$2,009.93	$2,411.91	$2,990.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.80 / $2,732.79 / $3,353.96	Professional		$1,582.80	$2,732.79	$3,353.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,595.23 / $2,054.81 / $3,294.00	Facility		$1,595.23	$2,054.81	$3,294.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.10 / $2,264.40 / $3,463.00	Professional		$1,667.10	$2,264.40	$3,463.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.85 / $1,720.39 / $2,764.67	Professional		$1,290.85	$1,720.39	$2,764.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,372.33 / $1,562.46 / $2,161.13	Professional		$1,372.33	$1,562.46	$2,161.13