Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,682.00 / $12,941.00	Facility		$975.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.93 / $1,116.11 / $1,886.37	Professional		$977.93	$1,116.11	$1,886.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.51 / $1,869.47 / $6,621.39	Facility		$1,101.51	$1,869.47	$6,621.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.66 / $1,286.84 / $1,753.56	Professional		$1,016.66	$1,286.84	$1,753.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $991.09 / $1,011.45	Facility		$80.00	$991.09	$1,011.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.94 / $1,249.94 / $1,249.94	Facility		$1,249.94	$1,249.94	$1,249.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.67 / $1,470.51 / $2,266.86	Professional		$1,090.67	$1,470.51	$2,266.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,326.70	Facility		$55.00	$55.00	$6,326.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,969.20 / $8,128.96 / $9,496.73	Professional		$7,969.20	$8,128.96	$9,496.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.36 / $1,368.85 / $2,170.46	Facility		$1,074.36	$1,368.85	$2,170.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.15 / $1,629.78 / $2,020.93	Professional		$1,358.15	$1,629.78	$2,020.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,839.78 / $2,312.67	Professional		$1,209.00	$1,839.78	$2,312.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,074.36 / $1,369.99 / $2,203.31	Facility		$1,074.36	$1,369.99	$2,203.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.92 / $1,514.52 / $2,297.17	Professional		$1,126.92	$1,514.52	$2,297.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.51 / $1,180.07 / $1,846.61	Professional		$862.51	$1,180.07	$1,846.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $927.31 / $1,053.83 / $1,461.51	Professional		$927.31	$1,053.83	$1,461.51