Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $13,401.00	Facility		$969.00	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.21 / $878.32 / $1,366.00	Professional		$765.21	$878.32	$1,366.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.05 / $4,138.47 / $8,072.00	Facility		$2,221.05	$4,138.47	$8,072.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.44 / $918.29 / $1,376.54	Professional		$690.44	$918.29	$1,376.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $758.36 / $763.06	Facility		$80.00	$758.36	$763.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.02 / $943.02 / $943.02	Facility		$943.02	$943.02	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.32 / $1,160.74 / $1,800.98	Professional		$832.32	$1,160.74	$1,800.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,642.68 / $11,500.00 / $26,542.00	Facility		$4,642.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,519.70 / $8,519.70 / $8,519.70	Professional		$8,519.70	$8,519.70	$8,519.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.27 / $1,064.99 / $1,856.13	Facility		$816.27	$1,064.99	$1,856.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.58 / $1,229.49 / $1,524.57	Professional		$1,024.58	$1,229.49	$1,524.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $965.70 / $965.70 / $965.70	Professional		$965.70	$965.70	$965.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.27 / $1,068.64 / $1,991.84	Facility		$816.27	$1,068.64	$1,991.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.45 / $1,202.49 / $1,823.46	Professional		$834.45	$1,202.49	$1,823.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,114.00 / $8,226.00	Facility		$1,391.00	$4,114.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $942.51 / $1,484.69	Professional		$707.00	$942.51	$1,484.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.56 / $794.34 / $1,109.74	Professional		$699.56	$794.34	$1,109.74