Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.97 / $407.41 / $680.74	Professional		$356.97	$407.41	$680.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,442.96 / $2,612.61 / $5,647.14	Facility		$1,442.96	$2,612.61	$5,647.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.28 / $468.69 / $638.66	Professional		$370.28	$468.69	$638.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $349.46 / $352.47	Facility		$80.00	$349.46	$352.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $525.95 / $805.34	Professional		$389.00	$525.95	$805.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,864.60 / $11,500.00 / $26,542.00	Facility		$1,864.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,926.72 / $2,999.60 / $3,405.45	Professional		$2,926.72	$2,999.60	$3,405.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.83 / $480.58 / $755.98	Facility		$381.83	$480.58	$755.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.48 / $590.97 / $732.80	Professional		$492.48	$590.97	$732.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $669.80 / $1,433.15	Professional		$420.01	$669.80	$1,433.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.83 / $491.51 / $793.60	Facility		$381.83	$491.51	$793.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.30 / $551.98 / $835.39	Professional		$406.30	$551.98	$835.39
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.41 / $425.18 / $679.69	Professional		$322.41	$425.18	$679.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $381.83 / $532.02	Professional		$336.25	$381.83	$532.02