Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $2,598.00 / $7,542.00	Facility		$732.00	$2,598.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.59 / $1,080.81 / $1,746.17	Professional		$916.59	$1,080.81	$1,746.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $8,318.61 / $16,416.84	Facility		$3,990.00	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.49 / $1,203.03 / $1,713.21	Professional		$986.49	$1,203.03	$1,713.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $956.22 / $979.05	Facility		$80.00	$956.22	$979.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.96 / $1,482.96 / $2,204.98	Professional		$1,102.96	$1,482.96	$2,204.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,025.00 / $16,394.00 / $22,211.50	Facility		$4,025.00	$16,394.00	$22,211.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,757.68 / $7,918.64 / $9,248.25	Professional		$7,757.68	$7,918.64	$9,248.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.58 / $1,331.81 / $2,051.37	Facility		$1,027.58	$1,331.81	$2,051.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.56 / $1,587.08 / $1,967.97	Professional		$1,322.56	$1,587.08	$1,967.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.76 / $1,264.36 / $1,854.54	Professional		$1,141.76	$1,264.36	$1,854.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.58 / $1,332.86 / $2,165.44	Facility		$1,027.58	$1,332.86	$2,165.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.48 / $1,531.47 / $2,268.36	Professional		$1,110.48	$1,531.47	$2,268.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,134.00	Facility		$2,211.00	$6,662.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.58 / $1,179.40 / $1,893.59	Professional		$845.58	$1,179.40	$1,893.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $903.01 / $1,027.58 / $1,422.41	Professional		$903.01	$1,027.58	$1,422.41