Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $3,213.00 / $11,453.00	Facility		$790.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.99 / $864.01 / $1,412.91	Professional		$763.99	$864.01	$1,412.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,828.45 / $9,032.74 / $15,732.53	Facility		$3,828.45	$9,032.74	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.82 / $1,019.97 / $1,389.90	Professional		$805.82	$1,019.97	$1,389.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $840.82 / $6,476.47 / $6,476.47	Facility		$840.82	$6,476.47	$6,476.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,603.00 / $6,702.00	Facility		$1,017.00	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.13 / $1,146.84 / $1,742.99	Professional		$847.13	$1,146.84	$1,742.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $17,132.00	Facility		$55.00	$2,000.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,333.84 / $6,395.04 / $7,896.08	Professional		$6,333.84	$6,395.04	$7,896.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.94 / $985.51 / $1,594.73	Facility		$808.94	$985.51	$1,594.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.44 / $1,326.53 / $1,644.89	Professional		$1,105.44	$1,326.53	$1,644.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $916.80 / $916.80 / $916.80	Professional		$916.80	$916.80	$916.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.94 / $985.82 / $1,643.04	Facility		$808.94	$985.82	$1,643.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.80 / $1,190.49 / $1,799.88	Professional		$855.80	$1,190.49	$1,799.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.56 / $938.15 / $1,450.65	Professional		$691.56	$938.15	$1,450.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $754.77 / $854.13 / $1,183.45	Professional		$754.77	$854.13	$1,183.45