Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,219.00 / $11,453.00	Facility		$895.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.80 / $1,265.76 / $2,155.34	Professional		$1,072.80	$1,265.76	$2,155.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,292.00 / $8,649.15 / $16,251.58	Facility		$4,292.00	$8,649.15	$16,251.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.18 / $1,467.76 / $2,006.27	Professional		$1,163.18	$1,467.76	$2,006.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,114.67 / $1,142.69	Facility		$80.00	$1,114.67	$1,142.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,432.52	Facility		$1,432.52	$1,432.52	$1,432.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.96 / $1,744.44 / $2,590.92	Professional		$1,297.96	$1,744.44	$2,590.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,894.65 / $17,524.30 / $26,542.00	Facility		$5,894.65	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,082.56 / $9,269.60 / $10,833.83	Professional		$9,082.56	$9,269.60	$10,833.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.09 / $1,554.99 / $2,487.85	Facility		$1,204.09	$1,554.99	$2,487.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.99 / $1,858.79 / $2,304.89	Professional		$1,548.99	$1,858.79	$2,304.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.33 / $1,480.42 / $2,170.52	Professional		$1,331.33	$1,480.42	$2,170.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.09 / $1,560.19 / $2,535.62	Facility		$1,204.09	$1,560.19	$2,535.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,301.94 / $1,778.62 / $2,675.53	Professional		$1,301.94	$1,778.62	$2,675.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,237.00	Facility		$2,093.00	$6,002.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.83 / $1,374.07 / $2,164.50	Professional		$992.83	$1,374.07	$2,164.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.60 / $1,204.09 / $1,665.47	Professional		$1,057.60	$1,204.09	$1,665.47