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 / $10,234.00	Facility		$969.00	$3,682.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.25 / $1,321.01 / $1,828.39	Professional		$1,187.25	$1,321.01	$1,828.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.79 / $2,189.33 / $10,889.29	Facility		$1,256.79	$2,189.33	$10,889.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.64 / $1,438.40 / $2,004.02	Professional		$1,128.64	$1,438.40	$2,004.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,109.23 / $1,109.23 / $1,109.23	Facility		$1,109.23	$1,109.23	$1,109.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.73 / $1,682.95 / $2,608.32	Professional		$1,272.73	$1,682.95	$2,608.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,003.56	Facility		$55.00	$55.00	$10,003.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,421.40 / $21,953.02 / $21,953.02	Professional		$10,421.40	$21,953.02	$21,953.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,235.71 / $1,644.53 / $2,764.25	Facility		$1,235.71	$1,644.53	$2,764.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.27 / $1,862.81 / $2,191.54	Professional		$1,339.27	$1,862.81	$2,191.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.10 / $1,736.10 / $1,736.10	Professional		$1,736.10	$1,736.10	$1,736.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.71 / $1,651.17 / $2,972.27	Facility		$1,235.71	$1,651.17	$2,972.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $1,708.13 / $2,835.68	Professional		$1,281.15	$1,708.13	$2,835.68
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 $1,029.45 / $1,434.28 / $2,202.73	Professional		$1,029.45	$1,434.28	$2,202.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,039.11 / $1,189.54 / $1,643.58	Professional		$1,039.11	$1,189.54	$1,643.58