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 $1,144.52 / $1,315.53 / $1,925.67	Professional		$1,144.52	$1,315.53	$1,925.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,496.11 / $10,256.51 / $19,976.73	Facility		$5,496.11	$10,256.51	$19,976.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.27 / $1,537.81 / $2,134.29	Professional		$1,210.27	$1,537.81	$2,134.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,130.24 / $1,130.24 / $1,130.24	Facility		$1,130.24	$1,130.24	$1,130.24
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 $1,317.05 / $1,806.47 / $2,746.45	Professional		$1,317.05	$1,806.47	$2,746.45
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 $9,415.04 / $9,704.08 / $11,015.55	Professional		$9,415.04	$9,704.08	$11,015.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.38 / $1,694.56 / $2,832.26	Facility		$1,267.38	$1,694.56	$2,832.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.85 / $1,946.45 / $2,289.94	Professional		$1,653.85	$1,946.45	$2,289.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.56 / $1,490.84 / $1,734.50	Professional		$1,349.56	$1,490.84	$1,734.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.38 / $1,723.57 / $3,372.33	Facility		$1,267.38	$1,723.57	$3,372.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.04 / $1,843.00 / $2,883.59	Professional		$1,322.04	$1,843.00	$2,883.59
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 $1,102.96 / $1,469.57 / $2,344.27	Professional		$1,102.96	$1,469.57	$2,344.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,085.78 / $1,242.36 / $1,711.48	Professional		$1,085.78	$1,242.36	$1,711.48