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 $1,386.59 / $1,640.49 / $2,517.94	Professional		$1,386.59	$1,640.49	$2,517.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.60 / $1,988.91 / $2,981.51	Professional		$1,560.60	$1,988.91	$2,981.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,619.73 / $1,619.73 / $1,619.73	Facility		$1,619.73	$1,619.73	$1,619.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.61 / $2,341.80 / $3,413.71	Professional		$1,784.61	$2,341.80	$3,413.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,910.88	Facility		$55.00	$55.00	$22,910.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,280.36 / $14,280.36 / $15,217.50	Professional		$14,280.36	$14,280.36	$15,217.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.50 / $2,147.51 / $3,775.83	Facility		$1,599.50	$2,147.51	$3,775.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.75 / $2,563.10 / $3,015.41	Professional		$1,842.75	$2,563.10	$3,015.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,111.69 / $2,111.69 / $2,111.69	Professional		$2,111.69	$2,111.69	$2,111.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,599.50 / $2,166.11 / $3,935.70	Facility		$1,599.50	$2,166.11	$3,935.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,786.42 / $2,350.67 / $3,477.16	Professional		$1,786.42	$2,350.67	$3,477.16
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 $1,393.69 / $1,925.83 / $2,981.33	Professional		$1,393.69	$1,925.83	$2,981.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,429.76 / $1,621.15 / $2,227.07	Professional		$1,429.76	$1,621.15	$2,227.07