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 $1,029.21 / $1,172.99 / $1,864.53	Professional		$1,029.21	$1,172.99	$1,864.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.35 / $2,025.50 / $9,631.00	Facility		$1,210.35	$2,025.50	$9,631.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.03 / $1,381.50 / $2,010.52	Professional		$1,031.03	$1,381.50	$2,010.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,203.55 / $1,203.55 / $1,203.55	Facility		$1,203.55	$1,203.55	$1,203.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,717.57 / $2,525.44	Professional		$1,295.00	$1,717.57	$2,525.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,167.90	Facility		$55.00	$55.00	$14,167.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,237.42 / $11,237.42 / $11,291.33	Professional		$11,237.42	$11,237.42	$11,291.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.28 / $1,563.80 / $2,921.31	Facility		$1,182.28	$1,563.80	$2,921.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.39 / $1,901.91 / $2,237.54	Professional		$1,367.39	$1,901.91	$2,237.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.10 / $1,549.10 / $1,549.10	Professional		$1,549.10	$1,549.10	$1,549.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,182.28 / $1,591.41 / $2,921.31	Facility		$1,182.28	$1,591.41	$2,921.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,305.71 / $1,717.57 / $2,551.89	Professional		$1,305.71	$1,717.57	$2,551.89
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 $980.41 / $1,295.99 / $2,091.54	Professional		$980.41	$1,295.99	$2,091.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,060.93 / $1,202.92 / $1,652.62	Professional		$1,060.93	$1,202.92	$1,652.62