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 $1,470.78 / $1,693.31 / $2,648.55	Professional		$1,470.78	$1,693.31	$2,648.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.89 / $2,111.63 / $2,722.34	Professional		$1,656.89	$2,111.63	$2,722.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,707.81 / $1,707.81 / $1,707.81	Facility		$1,707.81	$1,707.81	$1,707.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.38 / $2,447.08 / $3,630.69	Professional		$1,872.38	$2,447.08	$3,630.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,290.88	Facility		$55.00	$55.00	$24,290.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,445.12 / $12,731.92 / $16,165.28	Professional		$12,445.12	$12,731.92	$16,165.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,607.76 / $2,150.46 / $4,026.62	Facility		$1,607.76	$2,150.46	$4,026.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,311.09 / $2,719.97 / $3,199.97	Professional		$2,311.09	$2,719.97	$3,199.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.19 / $2,217.19 / $2,217.19	Professional		$2,217.19	$2,217.19	$2,217.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $2,151.61 / $4,129.21	Facility		$1,617.20	$2,151.61	$4,129.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,872.38 / $2,460.46 / $3,753.15	Professional		$1,872.38	$2,460.46	$3,753.15
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 $1,402.55 / $1,961.40 / $3,168.31	Professional		$1,402.55	$1,961.40	$3,168.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,517.26 / $1,721.29 / $2,362.04	Professional		$1,517.26	$1,721.29	$2,362.04