Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,229.43 / $3,621.50 / $5,287.51	Professional		$3,229.43	$3,621.50	$5,287.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,222.08 / $3,511.93 / $4,678.71	Professional		$3,222.08	$3,511.93	$4,678.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,225.77 / $3,225.77 / $3,351.73	Facility		$3,225.77	$3,225.77	$3,351.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,122.28 / $4,513.83 / $7,050.71	Professional		$3,122.28	$4,513.83	$7,050.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,799.52	Facility		$55.00	$55.00	$31,799.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,516.11 / $26,358.14 / $30,465.30	Professional		$25,516.11	$26,358.14	$30,465.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,245.83 / $4,025.57 / $7,162.88	Facility		$3,245.83	$4,025.57	$7,162.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,961.27 / $5,270.21 / $6,200.24	Professional		$3,961.27	$5,270.21	$6,200.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,300.90 / $4,025.57 / $8,879.90	Professional		$2,300.90	$4,025.57	$8,879.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,245.83 / $4,030.86 / $8,016.78	Facility		$3,245.83	$4,030.86	$8,016.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,322.16 / $4,817.66 / $8,787.20	Professional		$3,322.16	$4,817.66	$8,787.20
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 $2,789.54 / $3,819.40 / $5,966.15	Professional		$2,789.54	$3,819.40	$5,966.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,939.85 / $3,415.80 / $4,607.71	Professional		$2,939.85	$3,415.80	$4,607.71