Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,570.00 / $10,836.00	Facility		$935.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.39 / $1,744.45 / $2,261.87	Professional		$1,521.39	$1,744.45	$2,261.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.42 / $1,789.04 / $2,590.35	Professional		$1,413.42	$1,789.04	$2,590.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,373.79 / $1,373.79 / $1,373.79	Facility		$1,373.79	$1,373.79	$1,373.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.32 / $2,301.94 / $4,066.73	Professional		$1,595.32	$2,301.94	$4,066.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,543.68	Facility		$55.00	$55.00	$27,543.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,828.08 / $11,095.28 / $13,128.75	Professional		$10,828.08	$11,095.28	$13,128.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.83 / $1,838.25 / $4,280.85	Facility		$1,479.83	$1,838.25	$4,280.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.95 / $2,237.25 / $2,610.13	Professional		$1,938.95	$2,237.25	$2,610.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.29 / $1,504.02 / $2,553.62	Professional		$1,367.29	$1,504.02	$2,553.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.83 / $1,882.86 / $4,318.31	Facility		$1,479.83	$1,882.86	$4,318.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,595.32 / $2,358.64 / $4,144.78	Professional		$1,595.32	$2,358.64	$4,144.78
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 $1,482.70 / $1,968.80 / $3,013.47	Professional		$1,482.70	$1,968.80	$3,013.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,272.95 / $1,459.27 / $1,994.31	Professional		$1,272.95	$1,459.27	$1,994.31