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 $1,202.68 / $1,351.49 / $1,994.59	Professional		$1,202.68	$1,351.49	$1,994.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.73 / $1,530.35 / $2,131.58	Professional		$1,208.73	$1,530.35	$2,131.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,208.41 / $1,208.41 / $1,252.17	Facility		$1,208.41	$1,208.41	$1,252.17
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 $1,244.85 / $1,711.66 / $2,678.88	Professional		$1,244.85	$1,711.66	$2,678.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,837.84	Facility		$55.00	$55.00	$11,837.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,268.32 / $9,488.08 / $11,326.20	Professional		$9,268.32	$9,488.08	$11,326.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.61 / $1,524.22 / $2,672.34	Facility		$1,246.61	$1,524.22	$2,672.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.43 / $1,960.30 / $2,306.23	Professional		$1,473.43	$1,960.30	$2,306.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,535.70 / $3,324.20	Professional		$7.00	$1,535.70	$3,324.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.94 / $1,544.03 / $2,982.73	Facility		$1,247.94	$1,544.03	$2,982.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.41 / $1,818.66 / $3,274.35	Professional		$1,291.41	$1,818.66	$3,274.35
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 $1,038.03 / $1,436.63 / $2,263.04	Professional		$1,038.03	$1,436.63	$2,263.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.50 / $1,270.83 / $1,714.84	Professional		$1,093.50	$1,270.83	$1,714.84