Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.56 / $42,426.00 / $57,555.00	Facility		$1,286.56	$42,426.00	$57,555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.78 / $1,317.60 / $2,186.56	Professional		$1,131.78	$1,317.60	$2,186.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,780.04 / $1,780.04 / $1,780.04	Professional		$1,780.04	$1,780.04	$1,780.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.43 / $2,411.89 / $12,214.38	Facility		$1,359.43	$2,411.89	$12,214.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.91 / $1,630.11 / $2,262.39	Professional		$1,282.91	$1,630.11	$2,262.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,297.29 / $1,297.29 / $1,297.29	Facility		$1,297.29	$1,297.29	$1,297.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35,873.00 / $45,307.00 / $58,336.00	Facility		$35,873.00	$45,307.00	$58,336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.39 / $1,788.17 / $2,716.11	Professional		$1,357.39	$1,788.17	$2,716.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,468.40	Facility		$55.00	$55.00	$12,468.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $295.16 / $640.19 / $667.98	Facility	AS	$295.16	$640.19	$667.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,636.95 / $9,811.12 / $12,420.08	Professional		$9,636.95	$9,811.12	$12,420.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.21 / $1,631.71 / $3,093.00	Facility		$1,213.21	$1,631.71	$3,093.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.31 / $2,092.92 / $2,462.27	Professional		$1,778.31	$2,092.92	$2,462.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.13 / $1,722.75 / $3,576.56	Facility		$1,227.13	$1,722.75	$3,576.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.19 / $448.19 / $448.19	Facility	AS	$448.19	$448.19	$448.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,349.46 / $1,792.78 / $2,801.85	Professional		$1,349.46	$1,792.78	$2,801.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.28 / $1,436.37 / $2,441.83	Professional		$1,077.28	$1,436.37	$2,441.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,167.49 / $1,325.19 / $1,818.03	Professional		$1,167.49	$1,325.19	$1,818.03