Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,768.00 / $7,542.00	Facility		$803.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $1,055.85 / $1,684.70	Professional		$897.22	$1,055.85	$1,684.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,933.45 / $8,263.51 / $16,141.40	Facility		$3,933.45	$8,263.51	$16,141.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.26 / $1,174.69 / $1,672.87	Professional		$963.26	$1,174.69	$1,672.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $922.57 / $6,914.36 / $6,914.36	Facility		$922.57	$6,914.36	$6,914.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.76 / $1,191.76 / $1,191.76	Facility		$1,191.76	$1,191.76	$1,191.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.59 / $1,428.07 / $2,155.58	Professional		$1,077.59	$1,428.07	$2,155.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,908.20 / $16,394.00 / $17,524.30	Facility		$3,908.20	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,544.16 / $7,734.40 / $8,972.40	Professional		$7,544.16	$7,734.40	$8,972.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $1,249.07 / $1,997.03	Facility		$996.49	$1,249.07	$1,997.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.56 / $1,541.48 / $1,911.43	Professional		$1,284.56	$1,541.48	$1,911.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.73 / $1,733.00 / $3,761.33	Professional		$1,113.73	$1,733.00	$3,761.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.16 / $1,276.69 / $2,101.32	Facility		$998.16	$1,276.69	$2,101.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,077.59 / $1,473.08 / $2,189.21	Professional		$1,077.59	$1,473.08	$2,189.21
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 $824.84 / $1,137.44 / $1,796.27	Professional		$824.84	$1,137.44	$1,796.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $877.07 / $998.16 / $1,381.97	Professional		$877.07	$998.16	$1,381.97