Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.05 / $4,289.89 / $12,022.40	Facility		$1,616.05	$4,289.89	$12,022.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.19 / $1,713.99 / $2,938.27	Professional		$1,371.19	$1,713.99	$2,938.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $81.05 / $134.66	Facility		$28.98	$81.05	$134.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $1,144.70 / $1,493.62	Professional		$4.67	$1,144.70	$1,493.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $5,746.65 / $10,910.11	Facility		$1,591.56	$5,746.65	$10,910.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.10 / $1,414.73 / $3,854.67	Professional		$1,124.10	$1,414.73	$3,854.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,917.70 / $11,630.66 / $11,630.66	Facility		$3,917.70	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,193.83 / $12,193.83 / $18,364.20	Professional		$12,193.83	$12,193.83	$18,364.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,493.62 / $2,448.56 / $3,672.84	Facility		$1,493.62	$2,448.56	$3,672.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,060.70	Professional		$2,448.56	$2,448.56	$3,060.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,938.27 / $5,509.26	Professional		$1,591.56	$2,938.27	$5,509.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.66 / $2,521.03 / $8,817.87	Facility		$1,639.66	$2,521.03	$8,817.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,158.58 / $2,313.96 / $3,838.82	Professional		$1,158.58	$2,313.96	$3,838.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $1,567.08	Professional		$1,028.40	$1,028.40	$1,567.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $979.42 / $2,448.56	Professional		$979.42	$979.42	$2,448.56