Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.85 / $1,929.76 / $2,977.55	Professional		$1,630.85	$1,929.76	$2,977.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,637.61 / $2,178.03 / $3,264.94	Professional		$1,637.61	$2,178.03	$3,264.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,883.02 / $1,883.02 / $1,883.02	Facility		$1,883.02	$1,883.02	$1,883.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.92 / $2,768.76 / $4,026.75	Professional		$2,089.92	$2,768.76	$4,026.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,928.00	Facility		$55.00	$55.00	$26,928.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,830.79 / $15,830.79 / $17,933.03	Professional		$15,830.79	$15,830.79	$17,933.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,906.15 / $2,505.05 / $4,475.68	Facility		$1,906.15	$2,505.05	$4,475.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.67 / $3,016.43 / $3,548.74	Professional		$2,168.67	$3,016.43	$3,548.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,469.80 / $2,469.80 / $2,469.80	Professional		$2,469.80	$2,469.80	$2,469.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,906.15 / $2,524.28 / $4,629.00	Facility		$1,906.15	$2,524.28	$4,629.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,092.80 / $2,768.76 / $4,117.13	Professional		$2,092.80	$2,768.76	$4,117.13
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 $1,659.54 / $2,198.53 / $3,526.53	Professional		$1,659.54	$2,198.53	$3,526.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,682.63 / $1,909.49 / $2,618.84	Professional		$1,682.63	$1,909.49	$2,618.84