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 $1,818.93 / $2,086.65 / $2,493.58	Professional		$1,818.93	$2,086.65	$2,493.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.83 / $2,149.03 / $2,994.09	Professional		$1,697.83	$2,149.03	$2,994.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,706.40 / $1,706.40 / $1,706.40	Facility		$1,706.40	$1,706.40	$1,706.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.21 / $2,507.36 / $3,927.62	Professional		$1,922.21	$2,507.36	$3,927.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $53,714.44	Facility		$55.00	$55.00	$53,714.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,602.00 / $19,602.00 / $19,602.00	Professional		$19,602.00	$19,602.00	$19,602.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,922.21 / $2,354.38 / $4,487.22	Facility		$1,922.21	$2,354.38	$4,487.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.86 / $2,689.46 / $3,137.70	Professional		$2,330.86	$2,689.46	$3,137.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.23 / $1,856.68 / $3,062.51	Professional		$1,698.23	$1,856.68	$3,062.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,922.21 / $2,374.69 / $4,733.28	Facility		$1,922.21	$2,374.69	$4,733.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,922.21 / $2,584.71 / $4,248.43	Professional		$1,922.21	$2,584.71	$4,248.43
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.54 / $2,069.01 / $3,309.54	Professional		$1,566.54	$2,069.01	$3,309.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,530.25 / $1,753.15 / $2,395.32	Professional		$1,530.25	$1,753.15	$2,395.32