Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $11,822.00	Facility		$969.00	$3,682.00	$11,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.75 / $1,313.94 / $2,006.27	Professional		$1,168.75	$1,313.94	$2,006.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.18 / $2,186.51 / $14,400.00	Facility		$1,260.18	$2,186.51	$14,400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.03 / $1,485.63 / $2,076.21	Professional		$1,149.03	$1,485.63	$2,076.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,176.01 / $1,176.01 / $1,218.95	Facility		$1,176.01	$1,176.01	$1,218.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,371.00 / $14,561.00	Facility		$900.00	$4,371.00	$14,561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.03 / $1,696.24 / $2,616.86	Professional		$1,217.03	$1,696.24	$2,616.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,630.00 / $17,314.56	Facility		$55.00	$14,630.00	$17,314.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,854.73 / $9,854.73 / $11,047.88	Professional		$9,854.73	$9,854.73	$11,047.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.67 / $1,519.90 / $2,809.34	Facility		$1,216.67	$1,519.90	$2,809.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.98 / $1,911.81 / $2,324.16	Professional		$1,436.98	$1,911.81	$2,324.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.17 / $2,148.48 / $3,229.90	Professional		$1,121.17	$2,148.48	$3,229.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.83 / $1,529.83 / $2,875.60	Facility		$1,217.83	$1,529.83	$2,875.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.93 / $1,773.99 / $3,195.79	Professional		$1,269.93	$1,773.99	$3,195.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,669.00 / $5,847.00 / $22,758.00	Facility		$1,669.00	$5,847.00	$22,758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.15 / $1,396.32 / $2,199.76	Professional		$1,018.15	$1,396.32	$2,199.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,066.45 / $1,239.33 / $1,672.25	Professional		$1,066.45	$1,239.33	$1,672.25