Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,511.00 / $12,941.00	Facility		$803.00	$3,511.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.84 / $446.98 / $754.74	Professional		$355.84	$446.98	$754.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,887.97 / $4,674.35 / $9,140.28	Facility		$2,887.97	$4,674.35	$9,140.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.44 / $483.02 / $763.97	Professional		$378.44	$483.02	$763.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $442.96 / $442.96 / $450.06	Facility		$442.96	$442.96	$450.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.22 / $591.04 / $867.46	Professional		$450.22	$591.04	$867.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,102.00	Facility		$55.00	$55.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,475.60 / $3,547.36 / $4,110.83	Professional		$3,475.60	$3,547.36	$4,110.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.81 / $492.01 / $660.83	Facility		$399.81	$492.01	$660.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $471.94 / $722.07 / $943.88	Professional		$471.94	$722.07	$943.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.45 / $507.24 / $659.25	Professional		$440.45	$507.24	$659.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.20 / $481.95 / $661.38	Facility		$398.20	$481.95	$661.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $618.49 / $966.45	Professional		$457.42	$618.49	$966.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.15 / $500.20 / $776.16	Professional		$375.15	$500.20	$776.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.79 / $457.42 / $635.70	Professional		$402.79	$457.42	$635.70