Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,570.00 / $10,893.00	Facility		$921.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.89 / $1,067.00 / $1,804.46	Professional		$934.89	$1,067.00	$1,804.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,272.02 / $18,364.59	Facility		$5,144.47	$9,272.02	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.71 / $1,195.68 / $1,677.11	Professional		$965.71	$1,195.68	$1,677.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $953.79 / $971.33	Facility		$80.00	$953.79	$971.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $1,196.30 / $1,196.30	Facility		$1,196.30	$1,196.30	$1,196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.88 / $1,397.24 / $2,152.65	Professional		$1,018.88	$1,397.24	$2,152.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $33,500.00	Facility		$1,800.00	$19,913.50	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,738.00 / $7,778.24 / $9,094.28	Professional		$7,738.00	$7,778.24	$9,094.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.74 / $1,315.14 / $2,064.21	Facility		$1,009.74	$1,315.14	$2,064.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.33 / $1,560.39 / $1,934.88	Professional		$1,300.33	$1,560.39	$1,934.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.80 / $1,900.34 / $3,950.94	Professional		$1,279.80	$1,900.34	$3,950.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,009.74 / $1,334.69 / $2,135.83	Facility		$1,009.74	$1,334.69	$2,135.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,069.50 / $1,441.59 / $2,187.86	Professional		$1,069.50	$1,441.59	$2,187.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,101.14 / $1,768.06	Professional		$820.95	$1,101.14	$1,768.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $887.83 / $1,008.08 / $1,399.72	Professional		$887.83	$1,008.08	$1,399.72