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 $1,039.67 / $1,153.09 / $1,679.88	Professional		$1,039.67	$1,153.09	$1,679.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.41 / $1,973.78 / $9,817.20	Facility		$1,131.41	$1,973.78	$9,817.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.42 / $1,289.97 / $1,797.21	Professional		$1,024.42	$1,289.97	$1,797.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,037.44 / $1,037.44 / $1,078.11	Facility		$1,037.44	$1,037.44	$1,078.11
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 $1,121.47 / $1,543.99 / $2,420.01	Professional		$1,121.47	$1,543.99	$2,420.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,167.58	Facility		$55.00	$55.00	$16,167.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,803.28 / $8,001.12 / $9,519.15	Professional		$7,803.28	$8,001.12	$9,519.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.34 / $1,348.97 / $2,492.85	Facility		$1,051.34	$1,348.97	$2,492.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.83 / $1,649.51 / $1,940.60	Professional		$1,239.83	$1,649.51	$1,940.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,838.06 / $2,770.90	Professional		$12.00	$1,838.06	$2,770.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.50 / $1,360.45 / $2,556.52	Facility		$1,052.50	$1,360.45	$2,556.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.05 / $1,609.84 / $2,783.01	Professional		$1,150.05	$1,609.84	$2,783.01
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,500.00 / $9,000.00	Facility		$471.00	$2,500.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $1,294.17 / $2,071.17	Professional		$941.46	$1,294.17	$2,071.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $920.13 / $1,069.20 / $1,441.46	Professional		$920.13	$1,069.20	$1,441.46