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 $1,727.85 / $1,942.32 / $2,894.10	Professional		$1,727.85	$1,942.32	$2,894.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.54 / $3,784.28 / $36,817.91	Facility		$1,531.54	$3,784.28	$36,817.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,687.16 / $2,150.19 / $2,995.71	Professional		$1,687.16	$2,150.19	$2,995.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,665.24 / $1,665.24 / $1,697.13	Facility		$1,665.24	$1,665.24	$1,697.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,108.35 / $4,619.00	Facility		$900.00	$2,108.35	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.55 / $2,503.96 / $3,890.28	Professional		$1,788.55	$2,503.96	$3,890.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,825.52	Facility		$55.00	$55.00	$16,825.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,405.52 / $13,753.92 / $15,417.90	Professional		$13,405.52	$13,753.92	$15,417.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.08 / $2,275.79 / $4,053.76	Facility		$1,795.08	$2,275.79	$4,053.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,064.51 / $2,746.70 / $3,231.41	Professional		$2,064.51	$2,746.70	$3,231.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.90 / $3,498.89 / $6,832.80	Professional		$1,888.90	$3,498.89	$6,832.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,795.08 / $2,287.12 / $4,280.93	Facility		$1,795.08	$2,287.12	$4,280.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,871.27 / $2,628.24 / $4,626.24	Professional		$1,871.27	$2,628.24	$4,626.24
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 $1,549.01 / $2,071.42 / $3,325.91	Professional		$1,549.01	$2,071.42	$3,325.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,532.17 / $1,791.70 / $2,420.90	Professional		$1,532.17	$1,791.70	$2,420.90