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 $1,508.69 / $1,718.86 / $2,065.89	Professional		$1,508.69	$1,718.86	$2,065.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.11 / $1,773.46 / $2,470.83	Professional		$1,401.11	$1,773.46	$2,470.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,431.76 / $1,431.76 / $1,431.76	Facility		$1,431.76	$1,431.76	$1,431.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.38 / $2,071.21 / $3,237.75	Professional		$1,579.38	$2,071.21	$3,237.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,329.92	Facility		$55.00	$55.00	$27,329.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,745.92 / $11,005.04 / $13,009.50	Professional		$10,745.92	$11,005.04	$13,009.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,579.38 / $1,968.61 / $3,473.28	Facility		$1,579.38	$1,968.61	$3,473.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,922.54 / $2,218.32 / $2,588.04	Professional		$1,922.54	$2,218.32	$2,588.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.06 / $2,577.13 / $5,621.06	Professional		$1,773.06	$2,577.13	$5,621.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,579.38 / $2,035.10 / $3,906.07	Facility		$1,579.38	$2,035.10	$3,906.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.38 / $2,136.96 / $3,490.97	Professional		$1,579.38	$2,136.96	$3,490.97
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 $1,294.26 / $1,710.16 / $2,663.12	Professional		$1,294.26	$1,710.16	$2,663.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,262.18 / $1,446.10 / $1,978.33	Professional		$1,262.18	$1,446.10	$1,978.33