Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.99 / $1,131.86 / $1,714.64	Professional		$1,030.99	$1,131.86	$1,714.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.78 / $1,946.09 / $6,773.54	Facility		$1,150.78	$1,946.09	$6,773.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.30 / $1,358.68 / $1,885.69	Professional		$1,069.30	$1,358.68	$1,885.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,061.05 / $1,061.05 / $1,102.84	Facility		$1,061.05	$1,061.05	$1,102.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.84 / $1,514.97 / $2,374.32	Professional		$1,043.84	$1,514.97	$2,374.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,481.84	Facility		$55.00	$55.00	$10,481.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,902.00 / $9,902.00 / $10,046.93	Professional		$9,902.00	$9,902.00	$10,046.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.38 / $1,299.20 / $2,367.67	Facility		$1,059.38	$1,299.20	$2,367.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.04 / $1,737.61 / $2,044.24	Professional		$1,306.04	$1,737.61	$2,044.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,907.48 / $2,922.60	Professional		$7.00	$1,907.48	$2,922.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,068.26 / $1,308.07 / $2,578.25	Facility		$1,068.26	$1,308.07	$2,578.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,113.21 / $1,610.72 / $2,895.87	Professional		$1,113.21	$1,610.72	$2,895.87
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $919.20 / $1,245.39 / $1,960.96	Professional		$919.20	$1,245.39	$1,960.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $969.28 / $1,126.10 / $1,518.94	Professional		$969.28	$1,126.10	$1,518.94