Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,040.00	Facility		$969.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.89 / $1,130.89 / $1,577.57	Professional		$1,040.89	$1,130.89	$1,577.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,085.94 / $1,892.34 / $9,356.45	Facility		$1,085.94	$1,892.34	$9,356.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.60 / $1,299.49 / $2,142.34	Professional		$860.60	$1,299.49	$2,142.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $947.40 / $947.40 / $947.40	Facility		$947.40	$947.40	$947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.75 / $1,458.11 / $2,360.04	Professional		$1,110.75	$1,458.11	$2,360.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,551.76	Facility		$55.00	$55.00	$8,551.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,118.48 / $8,118.48 / $8,903.93	Professional		$8,118.48	$8,118.48	$8,903.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.20 / $1,443.63 / $2,377.66	Facility		$1,058.20	$1,443.63	$2,377.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.00 / $1,592.59 / $1,873.64	Professional		$1,145.00	$1,592.59	$1,873.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.30 / $1,720.30 / $1,720.30	Professional		$1,720.30	$1,720.30	$1,720.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,055.99 / $1,457.48 / $2,544.50	Facility		$1,055.99	$1,457.48	$2,544.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,112.75 / $1,494.31 / $2,464.32	Professional		$1,112.75	$1,494.31	$2,464.32
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,546.00 / $9,024.00	Facility		$448.00	$2,546.00	$9,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.18 / $1,198.64 / $1,904.37	Professional		$896.18	$1,198.64	$1,904.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $888.39 / $1,017.79 / $1,404.99	Professional		$888.39	$1,017.79	$1,404.99