Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.04 / $1,042.33 / $1,746.27	Professional		$851.04	$1,042.33	$1,746.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.05 / $1,295.32 / $1,797.75	Professional		$1,028.05	$1,295.32	$1,797.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,050.31 / $1,100.05	Facility		$80.00	$1,050.31	$1,100.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.83 / $1,255.83 / $1,255.83	Facility		$1,255.83	$1,255.83	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.55 / $1,361.96 / $1,946.56	Professional		$977.55	$1,361.96	$1,946.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,240.70 / $11,500.00 / $16,394.00	Facility		$5,240.70	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,642.32 / $7,801.12 / $9,906.83	Professional		$7,642.32	$7,801.12	$9,906.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.60 / $1,144.92 / $1,923.78	Facility		$899.60	$1,144.92	$1,923.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.00 / $1,635.60 / $2,028.14	Professional		$1,363.00	$1,635.60	$2,028.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.80 / $1,033.80 / $1,033.80	Professional		$1,033.80	$1,033.80	$1,033.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.60 / $1,156.48 / $2,066.75	Facility		$899.60	$1,156.48	$2,066.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.85 / $1,414.06 / $2,162.39	Professional		$1,003.85	$1,414.06	$2,162.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.85 / $1,078.36 / $1,704.15	Professional		$750.85	$1,078.36	$1,704.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $930.62 / $1,055.10 / $1,449.56	Professional		$930.62	$1,055.10	$1,449.56