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 $1,023.23 / $1,150.50 / $1,833.11	Professional		$1,023.23	$1,150.50	$1,833.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.32 / $1,845.00 / $4,751.68	Facility		$1,098.32	$1,845.00	$4,751.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.58 / $1,298.15 / $1,808.61	Professional		$1,025.58	$1,298.15	$1,808.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,021.99 / $1,021.99 / $1,060.77	Facility		$1,021.99	$1,021.99	$1,060.77
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 $1,057.54 / $1,448.14 / $2,279.96	Professional		$1,057.54	$1,448.14	$2,279.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,298.33	Facility		$55.00	$55.00	$11,298.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,863.68 / $8,046.08 / $9,615.29	Professional		$7,863.68	$8,046.08	$9,615.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.31 / $1,293.35 / $2,259.58	Facility		$1,049.31	$1,293.35	$2,259.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.60 / $1,663.86 / $1,957.48	Professional		$1,250.60	$1,663.86	$1,957.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,398.10 / $2,775.20	Professional		$8.00	$1,398.10	$2,775.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.31 / $1,314.89 / $2,508.80	Facility		$1,049.31	$1,314.89	$2,508.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.05 / $1,537.46 / $2,771.03	Professional		$1,094.05	$1,537.46	$2,771.03
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 $895.09 / $1,200.10 / $1,900.61	Professional		$895.09	$1,200.10	$1,900.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.14 / $1,078.52 / $1,455.03	Professional		$928.14	$1,078.52	$1,455.03