Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $10,836.00	Facility		$921.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.42 / $1,042.92 / $1,245.95	Professional		$904.42	$1,042.92	$1,245.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.07 / $1,025.95 / $1,493.79	Professional		$847.07	$1,025.95	$1,493.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $843.96 / $843.96 / $843.96	Facility		$843.96	$843.96	$843.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.10 / $1,288.51 / $1,973.38	Professional		$966.10	$1,288.51	$1,973.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,984.00	Facility		$55.00	$55.00	$7,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,482.80 / $6,645.92 / $7,930.50	Professional		$6,482.80	$6,645.92	$7,930.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.15 / $1,253.40 / $2,067.46	Facility		$964.15	$1,253.40	$2,067.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.48 / $1,345.94 / $1,615.12	Professional		$1,166.48	$1,345.94	$1,615.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $937.59 / $1,473.62 / $2,009.47	Professional		$937.59	$1,473.62	$2,009.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.15 / $1,282.19 / $2,361.48	Facility		$964.15	$1,282.19	$2,361.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.15 / $1,296.03 / $2,269.30	Professional		$964.15	$1,296.03	$2,269.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $1,104.03 / $1,675.44	Professional		$825.22	$1,104.03	$1,675.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $765.81 / $878.27 / $1,197.98	Professional		$765.81	$878.27	$1,197.98