Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $2,172.00 / $7,513.00	Facility		$732.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.80 / $1,213.85 / $1,656.28	Professional		$1,091.80	$1,213.85	$1,656.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.47 / $1,111.11 / $1,281.45	Professional		$1,060.47	$1,111.11	$1,281.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,068.48 / $1,068.48 / $1,068.48	Facility		$1,068.48	$1,068.48	$1,068.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.16 / $1,516.10 / $2,259.37	Professional		$1,138.16	$1,516.10	$2,259.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,172.79	Facility		$55.00	$55.00	$9,172.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,207.92 / $8,389.36 / $10,031.10	Professional		$8,207.92	$8,389.36	$10,031.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.01 / $1,400.37 / $2,567.13	Facility		$1,127.01	$1,400.37	$2,567.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.14 / $1,736.12 / $2,042.50	Professional		$1,475.14	$1,736.12	$2,042.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Professional		$1,530.70	$1,530.70	$1,530.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,127.01 / $1,428.06 / $2,782.29	Facility		$1,127.01	$1,428.06	$2,782.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.92 / $1,549.31 / $2,397.66	Professional		$1,146.92	$1,549.31	$2,397.66
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $1,651.00 / $4,090.00	Facility		$410.00	$1,651.00	$4,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.56 / $1,271.46 / $2,070.63	Professional		$916.56	$1,271.46	$2,070.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $968.45 / $1,104.19 / $1,518.64	Professional		$968.45	$1,104.19	$1,518.64