Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,664.82 / $10,893.00	Facility		$969.00	$3,664.82	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.45 / $1,161.64 / $1,820.01	Professional		$1,011.45	$1,161.64	$1,820.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.42 / $1,452.94 / $2,454.87	Professional		$1,149.42	$1,452.94	$2,454.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,196.91 / $1,196.91 / $1,196.91	Facility		$1,196.91	$1,196.91	$1,196.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.59 / $1,702.66 / $2,487.79	Professional		$1,286.59	$1,702.66	$2,487.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,951.40	Facility		$55.00	$55.00	$13,951.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,567.99 / $9,567.99 / $11,094.00	Professional		$9,567.99	$9,567.99	$11,094.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,151.25 / $1,506.94 / $2,740.57	Facility		$1,151.25	$1,506.94	$2,740.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.51 / $1,870.73 / $2,200.86	Professional		$1,589.51	$1,870.73	$2,200.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.80 / $1,478.80 / $1,478.80	Professional		$1,478.80	$1,478.80	$1,478.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.25 / $1,506.94 / $2,805.20	Facility		$1,151.25	$1,506.94	$2,805.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,292.98 / $1,702.94 / $2,526.73	Professional		$1,292.98	$1,702.94	$2,526.73
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.18 / $1,376.11 / $2,160.84	Professional		$1,000.18	$1,376.11	$2,160.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,043.54 / $1,182.24 / $1,626.68	Professional		$1,043.54	$1,182.24	$1,626.68