Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $3,596.00 / $12,281.00	Facility		$647.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.97 / $456.82 / $676.10	Professional		$331.97	$456.82	$676.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.15 / $2,596.38 / $5,793.18	Facility		$1,509.15	$2,596.38	$5,793.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.65 / $504.71 / $692.68	Professional		$374.65	$504.71	$692.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.68 / $371.68 / $569.19	Facility		$371.68	$371.68	$569.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.56 / $550.44 / $818.28	Professional		$394.56	$550.44	$818.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,081.36 / $26,542.00 / $26,542.00	Facility		$2,081.36	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,937.28 / $3,913.12 / $4,628.47	Professional		$2,937.28	$3,913.12	$4,628.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.14 / $508.43 / $734.95	Facility		$369.14	$508.43	$734.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $723.20 / $987.31	Professional		$498.14	$723.20	$987.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.42 / $560.77 / $880.38	Professional		$413.42	$560.77	$880.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.96 / $508.62 / $764.69	Facility		$366.96	$508.62	$764.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.81 / $582.12 / $930.25	Professional		$409.81	$582.12	$930.25
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.75 / $523.66 / $772.24	Professional		$392.75	$523.66	$772.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.03 / $509.79 / $713.71	Professional		$453.03	$509.79	$713.71