Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,213.00 / $10,639.00	Facility		$895.00	$3,213.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.55 / $1,084.54 / $1,580.70	Professional		$929.55	$1,084.54	$1,580.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.66 / $6,432.06 / $12,341.08	Facility		$3,300.66	$6,432.06	$12,341.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.87 / $1,076.52 / $2,008.84	Professional		$781.87	$1,076.52	$2,008.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $892.84 / $892.84 / $892.84	Facility		$892.84	$892.84	$892.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.81 / $1,369.44 / $2,102.35	Professional		$1,031.81	$1,369.44	$2,102.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,823.00 / $7,823.00 / $8,385.98	Professional		$7,823.00	$7,823.00	$8,385.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.45 / $1,342.92 / $2,241.67	Facility		$988.45	$1,342.92	$2,241.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.13 / $1,499.55 / $1,764.18	Professional		$1,274.13	$1,499.55	$1,764.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.60 / $1,624.60 / $1,624.60	Professional		$1,624.60	$1,624.60	$1,624.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.45 / $1,352.63 / $2,551.13	Facility		$988.45	$1,352.63	$2,551.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.32 / $1,393.52 / $2,172.71	Professional		$1,033.32	$1,393.52	$2,172.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.63 / $1,159.99 / $1,837.01	Professional		$843.63	$1,159.99	$1,837.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $836.49 / $958.00 / $1,322.99	Professional		$836.49	$958.00	$1,322.99