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 $1,254.78 / $1,457.96 / $1,772.90	Professional		$1,254.78	$1,457.96	$1,772.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.67 / $2,208.94 / $7,901.00	Facility		$1,303.67	$2,208.94	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.82 / $1,520.59 / $2,078.46	Professional		$1,196.82	$1,520.59	$2,078.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,192.53 / $1,192.53 / $1,192.53	Facility		$1,192.53	$1,192.53	$1,192.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,673.29 / $2,354.27	Professional		$1,350.82	$1,673.29	$2,354.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,221.92	Facility		$55.00	$55.00	$16,221.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,238.64 / $9,450.16 / $11,305.95	Professional		$9,238.64	$9,450.16	$11,305.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.65 / $1,564.19 / $2,917.06	Facility		$1,245.65	$1,564.19	$2,917.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.83 / $1,917.50 / $2,237.08	Professional		$1,661.83	$1,917.50	$2,237.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.00 / $2,372.38 / $4,799.53	Professional		$1,527.00	$2,372.38	$4,799.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.65 / $1,572.20 / $3,326.34	Facility		$1,245.65	$1,572.20	$3,326.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,361.01 / $1,758.41 / $2,706.03	Professional		$1,361.01	$1,758.41	$2,706.03
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 $1,037.48 / $1,383.31 / $2,232.66	Professional		$1,037.48	$1,383.31	$2,232.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,091.02 / $1,245.65 / $1,709.59	Professional		$1,091.02	$1,245.65	$1,709.59