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 $1,617.74 / $1,851.04 / $2,211.34	Professional		$1,617.74	$1,851.04	$2,211.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.45 / $1,900.47 / $2,647.78	Professional		$1,501.45	$1,900.47	$2,647.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,552.16 / $1,552.16 / $1,552.16	Facility		$1,552.16	$1,552.16	$1,552.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.13 / $2,240.19 / $3,483.45	Professional		$1,694.13	$2,240.19	$3,483.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,571.33	Facility		$55.00	$55.00	$38,571.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,601.00 / $18,601.00 / $18,601.00	Professional		$18,601.00	$18,601.00	$18,601.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.13 / $2,108.46 / $3,853.25	Facility		$1,694.13	$2,108.46	$3,853.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.92 / $2,383.77 / $2,781.07	Professional		$2,065.92	$2,383.77	$2,781.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,020.60 / $3,020.60 / $3,020.60	Professional		$3,020.60	$3,020.60	$3,020.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,694.13 / $2,190.08 / $4,185.81	Facility		$1,694.13	$2,190.08	$4,185.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,694.13 / $2,298.67 / $3,755.10	Professional		$1,694.13	$2,298.67	$3,755.10
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 $1,391.33 / $1,857.68 / $2,907.86	Professional		$1,391.33	$1,857.68	$2,907.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,356.32 / $1,552.44 / $2,126.91	Professional		$1,356.32	$1,552.44	$2,126.91