Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,213.00 / $10,893.00	Facility		$895.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.80 / $1,369.49 / $2,251.17	Professional		$1,160.80	$1,369.49	$2,251.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,241.93 / $8,318.61 / $16,416.84	Facility		$4,241.93	$8,318.61	$16,416.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.61 / $1,548.44 / $2,149.00	Professional		$1,250.61	$1,548.44	$2,149.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,207.59 / $1,237.88	Facility		$80.00	$1,207.59	$1,237.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,551.17	Facility		$1,551.17	$1,551.17	$1,551.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.29 / $1,890.38 / $2,812.27	Professional		$1,405.29	$1,890.38	$2,812.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,383.95 / $17,524.30 / $26,542.00	Facility		$6,383.95	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $11,733.60	Professional		$10,776.75	$10,776.75	$11,733.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.02 / $1,689.04 / $2,713.28	Facility		$1,304.02	$1,689.04	$2,713.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.58 / $2,013.09 / $2,496.23	Professional		$1,677.58	$2,013.09	$2,496.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.93 / $1,603.30 / $2,349.73	Professional		$1,441.93	$1,603.30	$2,349.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,317.12 / $1,695.23 / $2,749.52	Facility		$1,317.12	$1,695.23	$2,749.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.01 / $1,925.85 / $2,906.17	Professional		$1,410.01	$1,925.85	$2,906.17
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 $1,096.08 / $1,480.49 / $2,343.88	Professional		$1,096.08	$1,480.49	$2,343.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,145.41 / $1,304.02 / $1,803.71	Professional		$1,145.41	$1,304.02	$1,803.71