Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,682.00 / $12,281.00	Facility		$1,017.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,107.29 / $1,684.20	Professional		$992.36	$1,107.29	$1,684.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.42 / $7,275.80 / $14,551.59	Facility		$3,880.42	$7,275.80	$14,551.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.38 / $1,202.28 / $1,750.53	Professional		$913.38	$1,202.28	$1,750.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $946.28 / $946.28 / $960.95	Facility		$946.28	$946.28	$960.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.00 / $3,795.09 / $4,927.06	Facility		$2,847.00	$3,795.09	$4,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.13 / $1,414.85 / $2,217.52	Professional		$1,018.13	$1,414.85	$2,217.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,430.60 / $11,430.60 / $11,430.60	Professional		$11,430.60	$11,430.60	$11,430.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.86 / $1,324.18 / $2,423.50	Facility		$1,043.86	$1,324.18	$2,423.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.81 / $1,610.91 / $1,958.36	Professional		$1,210.81	$1,610.91	$1,958.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,531.10 / $2,756.60	Professional		$6.00	$1,531.10	$2,756.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.86 / $1,333.95 / $2,498.44	Facility		$1,043.86	$1,333.95	$2,498.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,051.59 / $1,513.62 / $2,689.81	Professional		$1,051.59	$1,513.62	$2,689.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.72 / $1,189.20 / $1,870.51	Professional		$863.72	$1,189.20	$1,870.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $898.60 / $1,048.52 / $1,418.30	Professional		$898.60	$1,048.52	$1,418.30