Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $1,331.52 / $3,731.60	Facility		$456.00	$1,331.52	$3,731.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $501.60 / $646.00	Professional		$425.60	$501.60	$646.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.80 / $676.40	Professional		$5.00	$402.80	$676.40
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 $1,511.64 / $2,899.77 / $4,029.26	Facility		$1,511.64	$2,899.77	$4,029.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $840.71 / $1,007.27	Professional		$402.80	$840.71	$1,007.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $1,064.53	Facility		$456.00	$760.00	$1,064.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $760.00 / $1,140.00	Professional		$722.00	$760.00	$1,140.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $950.00 / $2,660.00	Professional		$494.00	$950.00	$2,660.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,225.46 / $4,094.42	Facility		$760.00	$2,225.46	$4,094.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $912.00 / $1,330.00	Professional		$608.00	$912.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $486.40	Professional		$319.20	$319.20	$486.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $296.39 / $760.00	Professional		$200.00	$296.39	$760.00