Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $14,895.00	Facility		$969.00	$3,925.00	$14,895.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.61 / $1,012.25 / $1,503.66	Professional		$711.61	$1,012.25	$1,503.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,933.89 / $18,925.20 / $40,822.94	Facility		$8,933.89	$18,925.20	$40,822.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.03 / $1,149.16 / $1,720.07	Professional		$917.03	$1,149.16	$1,720.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $945.17 / $945.17 / $945.17	Facility		$945.17	$945.17	$945.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,392.00 / $18,652.00 / $36,462.00	Facility		$13,392.00	$18,652.00	$36,462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.43 / $1,411.27 / $2,027.09	Professional		$1,141.43	$1,411.27	$2,027.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,965.13 / $13,294.93 / $13,629.00	Facility		$10,965.13	$13,294.93	$13,629.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,672.74 / $9,019.65 / $9,179.10	Professional		$8,672.74	$9,019.65	$9,179.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.12 / $1,296.30 / $2,193.67	Facility		$1,006.12	$1,296.30	$2,193.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.40 / $1,566.23 / $1,879.47	Professional		$1,357.40	$1,566.23	$1,879.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.90 / $1,464.90 / $1,464.90	Professional		$1,464.90	$1,464.90	$1,464.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.74 / $1,347.83 / $17,029.00	Facility		$1,017.74	$1,347.83	$17,029.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.54 / $1,433.63 / $2,138.84	Professional		$1,108.54	$1,433.63	$2,138.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $19,392.00	Facility		$2,605.00	$7,184.00	$19,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.27 / $1,184.23 / $1,889.95	Professional		$902.27	$1,184.23	$1,889.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.15 / $1,017.74 / $1,398.98	Professional		$891.15	$1,017.74	$1,398.98