Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.57 / $1,519.97 / $1,815.51	Professional		$1,318.57	$1,519.97	$1,815.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.66 / $1,494.18 / $2,175.54	Professional		$1,233.66	$1,494.18	$2,175.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $1,281.33 / $1,281.33	Facility		$1,281.33	$1,281.33	$1,281.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.18 / $1,834.01 / $2,878.61	Professional		$1,392.18	$1,834.01	$2,878.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,172.80	Facility		$55.00	$55.00	$24,172.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,925.93 / $12,548.98 / $12,548.98	Professional		$11,925.93	$12,548.98	$12,548.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,391.94 / $1,731.74 / $3,042.37	Facility		$1,391.94	$1,731.74	$3,042.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.84 / $1,960.20 / $2,286.90	Professional		$1,698.84	$1,960.20	$2,286.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.69 / $2,100.69 / $2,100.69	Professional		$2,100.69	$2,100.69	$2,100.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,391.94 / $1,758.24 / $3,439.26	Facility		$1,391.94	$1,758.24	$3,439.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,391.94 / $1,885.98 / $3,208.96	Professional		$1,391.94	$1,885.98	$3,208.96
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 $1,141.58 / $1,498.33 / $2,375.79	Professional		$1,141.58	$1,498.33	$2,375.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,115.31 / $1,275.96 / $1,749.36	Professional		$1,115.31	$1,275.96	$1,749.36