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 $1,098.32 / $1,212.33 / $1,679.27	Professional		$1,098.32	$1,212.33	$1,679.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.71 / $1,085.18 / $1,251.53	Professional		$1,035.71	$1,085.18	$1,251.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,014.07 / $1,014.07 / $1,014.07	Facility		$1,014.07	$1,014.07	$1,014.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.92 / $1,550.67 / $2,394.69	Professional		$1,174.92	$1,550.67	$2,394.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,475.20	Facility		$55.00	$55.00	$10,475.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,367.68 / $8,556.08 / $9,540.60	Professional		$8,367.68	$8,556.08	$9,540.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,134.50 / $1,508.20 / $2,551.10	Facility		$1,134.50	$1,508.20	$2,551.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.19 / $1,706.91 / $2,008.13	Professional		$1,227.19	$1,706.91	$2,008.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.30 / $1,688.30 / $1,688.30	Professional		$1,688.30	$1,688.30	$1,688.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,134.50 / $1,525.02 / $2,779.28	Facility		$1,134.50	$1,525.02	$2,779.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.92 / $1,574.81 / $2,603.13	Professional		$1,174.92	$1,574.81	$2,603.13
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.71 / $1,322.35 / $2,043.64	Professional		$961.71	$1,322.35	$2,043.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $952.16 / $1,091.10 / $1,505.82	Professional		$952.16	$1,091.10	$1,505.82