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 $1,145.90 / $1,285.41 / $1,961.29	Professional		$1,145.90	$1,285.41	$1,961.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.48 / $1,457.87 / $2,030.62	Professional		$1,151.48	$1,457.87	$2,030.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,149.08 / $1,149.08 / $1,191.17	Facility		$1,149.08	$1,149.08	$1,191.17
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 $1,188.66 / $1,631.77 / $2,567.78	Professional		$1,188.66	$1,631.77	$2,567.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,283.44	Facility		$55.00	$55.00	$11,283.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,834.87 / $9,038.24 / $10,797.30	Professional		$8,834.87	$9,038.24	$10,797.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.97 / $1,452.51 / $2,694.19	Facility		$1,179.97	$1,452.51	$2,694.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.61 / $1,868.74 / $2,198.52	Professional		$1,404.61	$1,868.74	$2,198.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,479.30 / $3,159.10	Professional		$7.00	$1,479.30	$3,159.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,188.66 / $1,467.95 / $2,838.06	Facility		$1,188.66	$1,467.95	$2,838.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,226.07 / $1,734.98 / $3,134.00	Professional		$1,226.07	$1,734.98	$3,134.00
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 $989.54 / $1,374.73 / $2,151.51	Professional		$989.54	$1,374.73	$2,151.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,042.43 / $1,211.45 / $1,634.59	Professional		$1,042.43	$1,211.45	$1,634.59