Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,162.28 / $7,943.28	Facility		$831.76	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,288.25	Professional		$676.08	$776.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $8,317.64	Facility		$2,290.87	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $660.69	Facility		$79.43	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,584.89	Professional		$707.95	$1,000.00	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,715.35	Facility		$691.83	$1,000.00	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,202.26	Professional		$676.08	$912.01	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,698.24	Facility		$691.83	$933.25	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Professional		$691.83	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,202.26	Professional		$602.56	$794.33	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Professional		$645.65	$691.83	$691.83