Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.33 / $1,631.30 / $1,956.58	Professional		$1,427.33	$1,631.30	$1,956.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.77 / $1,681.90 / $2,343.27	Professional		$1,328.77	$1,681.90	$2,343.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,365.04 / $1,365.04 / $1,365.04	Facility		$1,365.04	$1,365.04	$1,365.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.87 / $2,006.99 / $3,238.63	Professional		$1,505.87	$2,006.99	$3,238.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,931.81	Facility		$55.00	$55.00	$30,931.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $18,750.00	Professional		$18,750.00	$18,750.00	$18,750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.03 / $1,878.91 / $3,984.14	Facility		$1,500.03	$1,878.91	$3,984.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.82 / $2,115.94 / $2,468.60	Professional		$1,833.82	$2,115.94	$2,468.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.26 / $1,505.87 / $2,443.16	Professional		$1,358.26	$1,505.87	$2,443.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.03 / $1,930.03 / $4,051.33	Facility		$1,500.03	$1,930.03	$4,051.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,505.87 / $2,020.78 / $3,259.49	Professional		$1,505.87	$2,020.78	$3,259.49
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 $1,223.58 / $1,605.95 / $2,600.12	Professional		$1,223.58	$1,605.95	$2,600.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,203.93 / $1,376.12 / $1,886.71	Professional		$1,203.93	$1,376.12	$1,886.71