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 $1,280.15 / $1,466.58 / $1,760.51	Professional		$1,280.15	$1,466.58	$1,760.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.19 / $1,512.82 / $2,107.69	Professional		$1,195.19	$1,512.82	$2,107.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,233.29 / $1,233.29 / $1,233.29	Facility		$1,233.29	$1,233.29	$1,233.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.43 / $1,781.97 / $2,809.78	Professional		$1,353.43	$1,781.97	$2,809.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,440.32	Facility		$55.00	$55.00	$23,440.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.42 / $1,657.25 / $2,917.06	Facility		$1,338.42	$1,657.25	$2,917.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.64 / $1,903.43 / $2,220.66	Professional		$1,649.64	$1,903.43	$2,220.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.69 / $2,326.69 / $2,326.69	Professional		$2,326.69	$2,326.69	$2,326.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,338.42 / $1,670.57 / $3,332.00	Facility		$1,338.42	$1,670.57	$3,332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,353.43 / $1,833.22 / $2,846.36	Professional		$1,353.43	$1,833.22	$2,846.36
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 $1,096.19 / $1,444.77 / $2,299.42	Professional		$1,096.19	$1,444.77	$2,299.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,083.01 / $1,237.40 / $1,697.64	Professional		$1,083.01	$1,237.40	$1,697.64