Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.63 / $3,596.00 / $10,836.00	Facility		$957.63	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.36 / $1,079.02 / $1,484.63	Professional		$891.36	$1,079.02	$1,484.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.16 / $1,873.29 / $4,662.81	Facility		$1,060.16	$1,873.29	$4,662.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.08 / $1,138.02 / $1,585.52	Professional		$899.08	$1,138.02	$1,585.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $932.27 / $932.27	Facility		$932.27	$932.27	$932.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.78 / $1,321.40 / $2,059.41	Professional		$1,018.78	$1,321.40	$2,059.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,669.12	Facility		$55.00	$55.00	$17,669.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,254.95 / $7,254.95 / $8,439.60	Professional		$7,254.95	$7,254.95	$8,439.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.63 / $1,256.66 / $2,190.46	Facility		$957.63	$1,256.66	$2,190.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.78 / $1,462.92 / $1,721.09	Professional		$1,051.78	$1,462.92	$1,721.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $927.94 / $1,018.67 / $1,648.12	Professional		$927.94	$1,018.67	$1,648.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $952.69 / $1,266.67 / $2,466.21	Facility		$952.69	$1,266.67	$2,466.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.93 / $1,354.67 / $2,164.14	Professional		$1,024.93	$1,354.67	$2,164.14
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.44 / $1,134.98 / $1,813.39	Professional		$825.44	$1,134.98	$1,813.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $816.05 / $931.76 / $1,279.54	Professional		$816.05	$931.76	$1,279.54