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 $1,627.92 / $1,879.66 / $2,251.38	Professional		$1,627.92	$1,879.66	$2,251.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.15 / $1,935.53 / $2,696.63	Professional		$1,529.15	$1,935.53	$2,696.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,520.84 / $1,520.84 / $1,520.84	Facility		$1,520.84	$1,520.84	$1,520.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.20 / $2,338.67 / $3,606.76	Professional		$1,745.20	$2,338.67	$3,606.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,756.48	Facility		$55.00	$55.00	$29,756.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,689.00 / $12,689.00 / $14,311.50	Professional		$12,689.00	$12,689.00	$14,311.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.22 / $2,268.48 / $3,762.85	Facility		$1,737.22	$2,268.48	$3,762.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.36 / $2,426.96 / $2,831.45	Professional		$2,103.36	$2,426.96	$2,831.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.06 / $2,785.71 / $2,804.24	Professional		$2,213.06	$2,785.71	$2,804.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.22 / $2,323.89 / $4,263.04	Facility		$1,737.22	$2,323.89	$4,263.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,744.99 / $2,367.28 / $4,130.43	Professional		$1,744.99	$2,367.28	$4,130.43
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 $1,430.02 / $1,912.06 / $3,038.78	Professional		$1,430.02	$1,912.06	$3,038.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.89 / $1,586.54 / $2,157.92	Professional		$1,380.89	$1,586.54	$2,157.92