Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.88 / $1,195.48 / $1,599.12	Professional		$978.88	$1,195.48	$1,599.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,691.51 / $8,100.39 / $17,572.09	Facility		$3,691.51	$8,100.39	$17,572.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.78 / $1,216.66 / $1,783.82	Professional		$914.78	$1,216.66	$1,783.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $981.09 / $981.09 / $981.09	Facility		$981.09	$981.09	$981.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.55 / $1,403.42 / $2,177.50	Professional		$1,035.55	$1,403.42	$2,177.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,474.04 / $9,474.04 / $9,474.04	Professional		$9,474.04	$9,474.04	$9,474.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.02 / $1,274.11 / $2,635.00	Facility		$1,023.02	$1,274.11	$2,635.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.72 / $1,639.12 / $1,928.38	Professional		$1,392.72	$1,639.12	$1,928.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.59 / $1,042.59 / $1,042.59	Professional		$1,042.59	$1,042.59	$1,042.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.02 / $1,321.00 / $2,883.22	Facility		$1,023.02	$1,321.00	$2,883.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,055.29 / $1,425.66 / $2,355.04	Professional		$1,055.29	$1,425.66	$2,355.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,662.00 / $13,237.00	Facility		$2,182.00	$6,662.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.85 / $1,138.60 / $1,811.99	Professional		$822.85	$1,138.60	$1,811.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.34 / $1,031.69 / $1,449.21	Professional		$914.34	$1,031.69	$1,449.21