Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.27 / $1,559.42 / $2,117.69	Professional		$1,411.27	$1,559.42	$2,117.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.51 / $2,566.31 / $12,840.75	Facility		$1,444.51	$2,566.31	$12,840.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.17 / $1,711.51 / $2,384.52	Professional		$1,352.17	$1,711.51	$2,384.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,345.89 / $1,345.89 / $1,345.89	Facility		$1,345.89	$1,345.89	$1,345.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.03 / $1,965.44 / $3,010.02	Professional		$1,500.03	$1,965.44	$3,010.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,266.24	Facility		$55.00	$55.00	$13,266.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,385.84 / $10,618.32 / $12,708.08	Professional		$10,385.84	$10,618.32	$12,708.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.66 / $1,818.67 / $3,257.83	Facility		$1,420.66	$1,818.67	$3,257.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.51 / $2,198.35 / $2,586.29	Professional		$1,580.51	$2,198.35	$2,586.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.50 / $1,920.50 / $1,920.50	Professional		$1,920.50	$1,920.50	$1,920.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.66 / $1,851.01 / $3,512.05	Facility		$1,420.66	$1,851.01	$3,512.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,505.83 / $1,969.95 / $3,048.69	Professional		$1,505.83	$1,969.95	$3,048.69
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,546.00 / $9,000.00	Facility		$495.00	$2,546.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.59 / $1,628.26 / $2,596.71	Professional		$1,174.59	$1,628.26	$2,596.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,226.29 / $1,398.98 / $1,922.20	Professional		$1,226.29	$1,398.98	$1,922.20