Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $1,329.86 / $3,697.80	Facility		$455.43	$1,329.86	$3,697.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.07 / $500.97 / $614.83	Professional		$425.07	$500.97	$614.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Professional		$759.05	$759.05	$759.05
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 $499.55 / $1,781.45 / $4,023.85	Facility		$499.55	$1,781.45	$4,023.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.59 / $924.59 / $1,107.77	Professional		$924.59	$924.59	$1,107.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.48 / $3,605.49 / $3,605.49	Facility		$1,214.48	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.07 / $3,780.07 / $5,692.88	Professional		$3,780.07	$3,780.07	$5,692.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $1,130.98	Facility		$455.43	$759.05	$1,130.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $948.81	Professional		$759.05	$759.05	$948.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $683.14 / $948.81 / $1,707.86	Professional		$683.14	$948.81	$1,707.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $2,293.46	Facility		$455.43	$759.05	$2,293.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $717.42 / $834.96 / $1,328.34	Professional		$717.42	$834.96	$1,328.34
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $541.96	Professional		$318.80	$318.80	$541.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $759.05	Professional		$500.00	$500.00	$759.05