Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.00 / $6,307.20 / $17,676.00	Facility		$2,376.00	$6,307.20	$17,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,664.00 / $4,140.00	Professional		$2,016.00	$2,664.00	$4,140.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $10,008.00 / $18,864.00	Facility		$3,600.00	$10,008.00	$18,864.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,600.00 / $3,600.00	Professional		$3,060.00	$3,600.00	$3,600.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,851.20 / $2,851.20 / $3,600.00	Facility		$2,851.20	$2,851.20	$3,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $8,449.04 / $16,039.10	Facility		$2,340.00	$8,449.04	$16,039.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.77 / $2,080.06 / $5,667.86	Professional		$1,652.77	$2,080.06	$5,667.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,760.00 / $17,100.00 / $17,100.00	Facility		$5,760.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,928.00 / $17,928.00 / $27,000.00	Professional		$17,928.00	$17,928.00	$27,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,196.00 / $3,600.00 / $5,400.00	Facility		$2,196.00	$3,600.00	$5,400.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,672.00 / $5,400.00	Professional		$3,420.00	$3,672.00	$5,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $4,320.00 / $8,100.00	Professional		$2,340.00	$4,320.00	$8,100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,410.73 / $3,706.56 / $12,965.70	Facility		$2,410.73	$3,706.56	$12,965.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,703.44 / $3,401.85 / $5,644.16	Professional		$1,703.44	$3,401.85	$5,644.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,512.00 / $3,600.00 / $4,320.00	Facility		$1,512.00	$3,600.00	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $2,304.00	Professional		$1,512.00	$1,512.00	$2,304.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $3,600.00	Professional		$1,440.00	$1,440.00	$3,600.00