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 $1,317.59 / $1,456.71 / $2,029.40	Professional		$1,317.59	$1,456.71	$2,029.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.89 / $1,585.28 / $2,208.65	Professional		$1,243.89	$1,585.28	$2,208.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,217.10 / $1,217.10 / $1,217.10	Facility		$1,217.10	$1,217.10	$1,217.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.42 / $1,862.08 / $2,877.03	Professional		$1,410.42	$1,862.08	$2,877.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,572.16	Facility		$55.00	$55.00	$12,572.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,448.23 / $12,420.21 / $12,830.07	Professional		$11,448.23	$12,420.21	$12,830.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.01 / $1,805.23 / $3,062.23	Facility		$1,363.01	$1,805.23	$3,062.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.70 / $2,048.39 / $2,409.88	Professional		$1,472.70	$2,048.39	$2,409.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.60 / $2,086.60 / $2,086.60	Professional		$2,086.60	$2,086.60	$2,086.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,363.01 / $1,830.53 / $3,474.10	Facility		$1,363.01	$1,830.53	$3,474.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.42 / $1,891.10 / $3,126.38	Professional		$1,410.42	$1,891.10	$3,126.38
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 $1,154.85 / $1,586.40 / $2,456.29	Professional		$1,154.85	$1,586.40	$2,456.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.64 / $1,309.29 / $1,807.18	Professional		$1,142.64	$1,309.29	$1,807.18