Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.58 / $3,174.00 / $10,836.00	Facility		$538.58	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $420.35 / $652.97	Professional		$306.76	$420.35	$652.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,357.36 / $4,243.25 / $8,067.41	Facility		$2,357.36	$4,243.25	$8,067.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $368.36 / $600.33	Professional		$262.06	$368.36	$600.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $287.12 / $289.19	Facility		$80.00	$287.12	$289.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.36 / $496.98 / $759.64	Professional		$348.36	$496.98	$759.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.48 / $11,500.00 / $26,542.00	Facility		$2,274.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,402.08 / $3,246.64 / $3,793.05	Professional		$2,402.08	$3,246.64	$3,793.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $454.26 / $712.77	Facility		$315.25	$454.26	$712.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $420.08 / $568.95 / $787.77	Professional		$420.08	$568.95	$787.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.40 / $379.40 / $379.40	Professional		$379.40	$379.40	$379.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.70 / $456.94 / $726.82	Facility		$316.70	$456.94	$726.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.76 / $520.21 / $842.88	Professional		$353.76	$520.21	$842.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.85 / $458.08 / $732.49	Professional		$331.85	$458.08	$732.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $421.27 / $592.16	Professional		$373.52	$421.27	$592.16