Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,281.00	Facility		$993.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.67 / $1,155.51 / $1,737.92	Professional		$1,009.67	$1,155.51	$1,737.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,295.84 / $10,055.40 / $20,043.75	Facility		$5,295.84	$10,055.40	$20,043.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.10 / $1,259.65 / $1,874.29	Professional		$940.10	$1,259.65	$1,874.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $992.77 / $992.77 / $992.77	Facility		$992.77	$992.77	$992.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.00 / $5,065.00 / $5,065.00	Facility		$5,065.00	$5,065.00	$5,065.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.95 / $1,581.90 / $2,395.03	Professional		$1,157.95	$1,581.90	$2,395.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,298.90	Facility		$55.00	$55.00	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,273.92 / $8,525.84 / $9,690.37	Professional		$8,273.92	$8,525.84	$9,690.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.24 / $1,487.02 / $2,489.19	Facility		$1,114.24	$1,487.02	$2,489.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.10 / $1,711.37 / $2,013.37	Professional		$1,454.10	$1,711.37	$2,013.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.13 / $1,310.24 / $1,490.30	Professional		$1,186.13	$1,310.24	$1,490.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,114.24 / $1,498.40 / $2,963.02	Facility		$1,114.24	$1,498.40	$2,963.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.15 / $1,613.97 / $2,519.00	Professional		$1,162.15	$1,613.97	$2,519.00
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 $966.05 / $1,291.57 / $2,052.85	Professional		$966.05	$1,291.57	$2,052.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.64 / $1,091.86 / $1,504.79	Professional		$954.64	$1,091.86	$1,504.79