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 / $12,941.00	Facility		$969.00	$3,596.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.42 / $1,326.11 / $1,780.95	Professional		$1,140.42	$1,326.11	$1,780.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.73 / $2,356.67 / $5,807.52	Facility		$1,333.73	$2,356.67	$5,807.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,092.47 / $1,092.47 / $1,092.47	Facility		$1,092.47	$1,092.47	$1,092.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.83 / $1,678.34 / $2,637.42	Professional		$1,265.83	$1,678.34	$2,637.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,877.56	Facility		$55.00	$55.00	$9,877.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,316.00 / $12,343.06 / $12,750.38	Professional		$10,316.00	$12,343.06	$12,750.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.96 / $1,628.13 / $2,745.15	Facility		$1,211.96	$1,628.13	$2,745.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.02 / $1,839.55 / $2,164.17	Professional		$1,563.02	$1,839.55	$2,164.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,924.80 / $1,924.80 / $1,924.80	Professional		$1,924.80	$1,924.80	$1,924.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.96 / $1,646.59 / $3,134.64	Facility		$1,211.96	$1,646.59	$3,134.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,265.83 / $1,710.04 / $2,755.25	Professional		$1,265.83	$1,710.04	$2,755.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.33 / $1,391.70 / $2,200.09	Professional		$1,035.33	$1,391.70	$2,200.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,026.14 / $1,175.72 / $1,622.81	Professional		$1,026.14	$1,175.72	$1,622.81