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 $1,079.41 / $1,223.08 / $1,814.98	Professional		$1,079.41	$1,223.08	$1,814.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.57 / $1,959.17 / $5,443.77	Facility		$1,170.57	$1,959.17	$5,443.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.90 / $1,387.76 / $1,933.45	Professional		$1,088.90	$1,387.76	$1,933.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,094.50 / $1,094.50 / $1,135.29	Facility		$1,094.50	$1,094.50	$1,135.29
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 $1,127.32 / $1,543.52 / $2,414.73	Professional		$1,127.32	$1,543.52	$2,414.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,763.04	Facility		$55.00	$55.00	$10,763.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,425.68 / $8,612.16 / $10,306.87	Professional		$8,425.68	$8,612.16	$10,306.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,383.36 / $2,421.04	Facility		$1,126.23	$1,383.36	$2,421.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.26 / $1,783.12 / $2,097.79	Professional		$1,340.26	$1,783.12	$2,097.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,444.80 / $3,003.80	Professional		$7.00	$1,444.80	$3,003.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.47 / $1,397.93 / $2,673.83	Facility		$1,132.47	$1,397.93	$2,673.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.52 / $1,636.47 / $2,955.13	Professional		$1,162.52	$1,636.47	$2,955.13
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 $933.45 / $1,286.79 / $2,026.88	Professional		$933.45	$1,286.79	$2,026.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $994.67 / $1,155.81 / $1,559.40	Professional		$994.67	$1,155.81	$1,559.40