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 $1,328.94 / $1,572.76 / $2,399.69	Professional		$1,328.94	$1,572.76	$2,399.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.37 / $2,540.67 / $3,238.58	Professional		$1,516.37	$2,540.67	$3,238.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,535.51 / $1,535.51 / $1,535.51	Facility		$1,535.51	$1,535.51	$1,535.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,434.96 / $4,434.96 / $4,434.96	Facility		$4,434.96	$4,434.96	$4,434.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.67 / $2,247.03 / $3,266.08	Professional		$1,701.67	$2,247.03	$3,266.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,947.04	Facility		$55.00	$55.00	$21,947.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,721.76 / $12,721.76 / $14,618.85	Professional		$12,721.76	$12,721.76	$14,618.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,486.65 / $2,014.79 / $3,650.53	Facility		$1,486.65	$2,014.79	$3,650.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.06 / $2,458.66 / $2,892.55	Professional		$2,089.06	$2,458.66	$2,892.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,096.69 / $2,096.69 / $2,096.69	Professional		$2,096.69	$2,096.69	$2,096.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,486.65 / $2,023.39 / $3,772.06	Facility		$1,486.65	$2,023.39	$3,772.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,722.59 / $2,247.03 / $3,334.30	Professional		$1,722.59	$2,247.03	$3,334.30
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 $1,291.46 / $1,808.05 / $2,839.18	Professional		$1,291.46	$1,808.05	$2,839.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,371.50 / $1,556.45 / $2,134.50	Professional		$1,371.50	$1,556.45	$2,134.50