Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,783.00 / $7,542.00	Facility		$661.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.49 / $517.57 / $866.62	Professional		$453.49	$517.57	$866.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.42 / $4,106.17 / $7,774.36	Facility		$1,942.42	$4,106.17	$7,774.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.56 / $596.58 / $815.46	Professional		$469.56	$596.58	$815.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $476.96 / $481.95	Facility		$80.00	$476.96	$481.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $583.27 / $583.27	Facility		$583.27	$583.27	$583.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $669.50 / $1,021.23	Professional		$500.60	$669.50	$1,021.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,885.70 / $11,500.00 / $16,394.00	Facility		$2,885.70	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,722.56 / $3,792.88 / $4,434.45	Professional		$3,722.56	$3,792.88	$4,434.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.88 / $624.19 / $990.00	Facility		$489.88	$624.19	$990.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $633.99 / $760.79 / $943.37	Professional		$633.99	$760.79	$943.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.21 / $826.82 / $1,160.73	Professional		$551.21	$826.82	$1,160.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.88 / $628.29 / $1,028.82	Facility		$489.88	$628.29	$1,028.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.57 / $688.30 / $1,049.10	Professional		$509.57	$688.30	$1,049.10
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 $392.48 / $523.29 / $821.10	Professional		$392.48	$523.29	$821.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $432.87 / $489.88 / $683.38	Professional		$432.87	$489.88	$683.38