Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,133.98 / $2,595.71 / $4,561.00	Professional		$2,133.98	$2,595.71	$4,561.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,641.87 / $4,623.43 / $23,133.75	Facility		$2,641.87	$4,623.43	$23,133.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,073.41 / $2,646.38 / $3,939.37	Professional		$2,073.41	$2,646.38	$3,939.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,446.35 / $2,578.40	Facility		$80.00	$2,446.35	$2,578.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $3,603.00 / $6,702.00	Facility		$2,995.12	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,615.48 / $3,588.00 / $5,249.13	Professional		$2,615.48	$3,588.00	$5,249.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $32,309.64	Facility		$55.00	$5,000.00	$32,309.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,267.18 / $18,467.84 / $23,516.40	Professional		$18,267.18	$18,467.84	$23,516.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,501.33 / $3,216.20 / $5,098.91	Facility		$2,501.33	$3,216.20	$5,098.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,228.59 / $3,874.31 / $4,804.14	Professional		$3,228.59	$3,874.31	$4,804.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,921.41 / $4,377.33 / $9,586.21	Professional		$2,921.41	$4,377.33	$9,586.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,502.92 / $3,239.92 / $5,247.02	Facility		$2,502.92	$3,239.92	$5,247.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,653.08 / $3,652.76 / $5,410.48	Professional		$2,653.08	$3,652.76	$5,410.48
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,087.21 / $2,782.94 / $4,435.20	Professional		$2,087.21	$2,782.94	$4,435.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,204.40 / $2,502.92 / $3,429.03	Professional		$2,204.40	$2,502.92	$3,429.03