Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,596.00 / $12,281.00	Facility		$1,068.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.98 / $1,369.11 / $1,636.86	Professional		$1,183.98	$1,369.11	$1,636.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.49 / $1,407.63 / $1,944.97	Professional		$1,104.49	$1,407.63	$1,944.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,106.46 / $1,106.46 / $1,106.46	Facility		$1,106.46	$1,106.46	$1,106.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $1,678.41 / $2,583.75	Professional		$1,268.00	$1,678.41	$2,583.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,431.63 / $12,431.63 / $12,431.63	Professional		$12,431.63	$12,431.63	$12,431.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,210.79 / $1,529.07 / $2,906.46	Facility		$1,210.79	$1,529.07	$2,906.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.96 / $1,764.18 / $2,117.02	Professional		$1,528.96	$1,764.18	$2,117.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.13 / $1,521.60 / $4,389.33	Professional		$1,153.13	$1,521.60	$4,389.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,210.79 / $1,553.03 / $3,360.61	Facility		$1,210.79	$1,553.03	$3,360.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $1,712.61 / $2,934.38	Professional		$1,268.00	$1,712.61	$2,934.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.96 / $1,429.95 / $2,209.92	Professional		$1,050.96	$1,429.95	$2,209.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,003.78 / $1,153.13 / $1,568.78	Professional		$1,003.78	$1,153.13	$1,568.78