Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.08 / $3,710.00 / $12,941.00	Facility		$674.08	$3,710.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.90 / $626.33 / $954.04	Professional		$476.90	$626.33	$954.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,566.83 / $14,648.60	Facility		$4,122.95	$7,566.83	$14,648.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.01 / $639.32 / $1,034.73	Professional		$470.01	$639.32	$1,034.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $473.13 / $473.13	Facility		$80.00	$473.13	$473.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $838.97	Facility		$838.97	$838.97	$838.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $756.95 / $1,180.31	Professional		$536.48	$756.95	$1,180.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,483.12 / $11,500.00 / $26,542.00	Facility		$3,483.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,660.00 / $4,734.88 / $5,599.35	Professional		$4,660.00	$4,734.88	$5,599.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.24 / $696.17 / $1,161.41	Facility		$508.24	$696.17	$1,161.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.22 / $866.81 / $1,155.74	Professional		$644.22	$866.81	$1,155.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $665.30 / $665.30 / $665.30	Professional		$665.30	$665.30	$665.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.24 / $698.13 / $1,172.95	Facility		$508.24	$698.13	$1,172.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.22 / $804.18 / $1,278.08	Professional		$540.22	$804.18	$1,278.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.35 / $710.29 / $1,103.35	Professional		$531.35	$710.29	$1,103.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $548.00 / $615.51 / $868.54	Professional		$548.00	$615.51	$868.54