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 $1,158.27 / $1,367.60 / $2,070.17	Professional		$1,158.27	$1,367.60	$2,070.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,401.81 / $2,478.10 / $6,446.21	Facility		$1,401.81	$2,478.10	$6,446.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.57 / $1,754.37 / $2,469.01	Professional		$1,376.57	$1,754.37	$2,469.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,431.69 / $1,431.69 / $1,431.69	Facility		$1,431.69	$1,431.69	$1,431.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.05 / $1,903.57 / $2,708.31	Professional		$1,394.05	$1,903.57	$2,708.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,222.04	Facility		$55.00	$55.00	$20,222.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,601.75 / $10,601.75 / $13,424.70	Professional		$10,601.75	$10,601.75	$13,424.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.94 / $1,626.14 / $3,325.05	Facility		$1,310.94	$1,626.14	$3,325.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.06 / $2,261.71 / $2,660.83	Professional		$1,626.06	$2,261.71	$2,660.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.80 / $1,698.80 / $1,698.80	Professional		$1,698.80	$1,698.80	$1,698.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $1,643.81 / $3,403.47	Facility		$1,313.00	$1,643.81	$3,403.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,391.48 / $1,931.41 / $3,004.53	Professional		$1,391.48	$1,931.41	$3,004.53
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.80 / $1,543.54 / $2,623.42	Professional		$1,063.80	$1,543.54	$2,623.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,261.63 / $1,430.24 / $1,965.52	Professional		$1,261.63	$1,430.24	$1,965.52