Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $3,742.00 / $13,004.00	Facility		$1,198.00	$3,742.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,411.83 / $2,152.84	Professional		$1,262.58	$1,411.83	$2,152.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.14 / $1,600.09 / $2,229.28	Professional		$1,264.14	$1,600.09	$2,229.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,252.47 / $1,252.47 / $1,301.96	Facility		$1,252.47	$1,252.47	$1,301.96
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 $1,309.24 / $1,801.05 / $2,827.50	Professional		$1,309.24	$1,801.05	$2,827.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,558.00 / $12,363.92	Facility		$55.00	$8,558.00	$12,363.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,680.64 / $9,909.92 / $11,847.38	Professional		$9,680.64	$9,909.92	$11,847.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.33 / $1,630.06 / $2,792.99	Facility		$1,306.33	$1,630.06	$2,792.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.39 / $2,049.39 / $2,411.05	Professional		$1,540.39	$2,049.39	$2,411.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.29 / $1,641.67 / $2,767.16	Professional		$1,290.29	$1,641.67	$2,767.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.33 / $1,639.54 / $3,131.33	Facility		$1,306.33	$1,639.54	$3,131.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,362.14 / $1,914.88 / $3,422.09	Professional		$1,362.14	$1,914.88	$3,422.09
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 $1,096.19 / $1,505.93 / $2,372.06	Professional		$1,096.19	$1,505.93	$2,372.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,143.20 / $1,328.23 / $1,791.59	Professional		$1,143.20	$1,328.23	$1,791.59