Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,980.61 / $2,456.50	Facility		$1,961.00	$1,980.61	$2,456.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,039.44	Professional		$1,961.00	$1,961.00	$2,039.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $10.54 / $32.02	Facility		$8.18	$10.54	$32.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,961.00 / $1,961.00	Facility		$1,850.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,608.50 / $2,880.00 / $6,562.50	Facility		$2,608.50	$2,880.00	$6,562.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,720.00 / $7,505.00 / $8,550.00	Professional		$6,720.00	$7,505.00	$8,550.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $4,157.32	Facility		$1,961.00	$1,961.00	$4,157.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,451.25	Professional		$1,961.00	$1,961.00	$2,451.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $2,117.88 / $4,531.50	Professional		$148.10	$2,117.88	$4,531.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $4,149.39	Facility		$1,961.00	$1,961.00	$4,149.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,416.80	Professional		$1,961.00	$1,961.00	$2,416.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,457.08 / $3,323.10 / $3,323.10	Facility		$2,457.08	$3,323.10	$3,323.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $1,961.00	Professional		$1,696.00	$1,696.00	$1,961.00