Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,596.00 / $12,281.00	Facility		$1,068.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.30 / $1,945.64 / $2,899.00	Professional		$1,748.30	$1,945.64	$2,899.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,818.79 / $2,302.73 / $3,207.41	Professional		$1,818.79	$2,302.73	$3,207.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,671.10 / $1,671.10 / $1,671.10	Facility		$1,671.10	$1,671.10	$1,671.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.69 / $2,617.83 / $4,147.47	Professional		$1,998.69	$2,617.83	$4,147.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,780.28	Facility		$55.00	$55.00	$26,780.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,612.80 / $16,439.78	Professional		$14,283.70	$14,612.80	$16,439.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.93 / $2,534.33 / $4,306.82	Facility		$1,899.93	$2,534.33	$4,306.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.92 / $2,913.98 / $3,428.21	Professional		$2,475.92	$2,913.98	$3,428.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.10 / $2,545.10 / $2,545.10	Professional		$2,545.10	$2,545.10	$2,545.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,899.93 / $2,576.25 / $4,764.47	Facility		$1,899.93	$2,576.25	$4,764.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,004.31 / $2,656.04 / $4,200.12	Professional		$2,004.31	$2,656.04	$4,200.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,207.00 / $6,591.00 / $13,237.00	Facility		$2,207.00	$6,591.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,622.01 / $2,229.26 / $3,446.77	Professional		$1,622.01	$2,229.26	$3,446.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,625.48 / $1,850.64 / $2,570.17	Professional		$1,625.48	$1,850.64	$2,570.17