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 $1,167.44 / $1,295.61 / $1,794.17	Professional		$1,167.44	$1,295.61	$1,794.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.84 / $1,411.13 / $1,966.02	Professional		$1,114.84	$1,411.13	$1,966.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,085.24 / $1,085.24 / $1,085.24	Facility		$1,085.24	$1,085.24	$1,085.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.64 / $1,653.62 / $2,558.55	Professional		$1,255.64	$1,653.62	$2,558.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,203.76	Facility		$55.00	$55.00	$11,203.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,764.62 / $9,764.62 / $10,209.83	Professional		$9,764.62	$9,764.62	$10,209.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.13 / $1,596.75 / $2,915.15	Facility		$1,212.13	$1,596.75	$2,915.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.59 / $1,825.69 / $2,147.87	Professional		$1,312.59	$1,825.69	$2,147.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.90 / $1,761.90 / $1,761.90	Professional		$1,761.90	$1,761.90	$1,761.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.13 / $1,596.75 / $3,108.04	Facility		$1,212.13	$1,596.75	$3,108.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.64 / $1,673.55 / $2,782.63	Professional		$1,255.64	$1,673.55	$2,782.63
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 $1,025.23 / $1,409.69 / $2,178.62	Professional		$1,025.23	$1,409.69	$2,178.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,018.41 / $1,166.50 / $1,610.64	Professional		$1,018.41	$1,166.50	$1,610.64