Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,783.00 / $7,542.00	Facility		$669.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.25 / $582.35 / $968.76	Professional		$510.25	$582.35	$968.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.88 / $673.23 / $917.40	Professional		$531.88	$673.23	$917.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $530.41 / $537.13	Facility		$80.00	$530.41	$537.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $655.05	Facility		$655.05	$655.05	$655.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.26 / $758.17 / $1,146.29	Professional		$564.26	$758.17	$1,146.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,242.88 / $11,500.00 / $16,394.00	Facility		$3,242.88	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.49 / $4,332.49 / $4,980.53	Professional		$4,332.49	$4,332.49	$4,980.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $550.76 / $695.09 / $1,089.84	Facility		$550.76	$695.09	$1,089.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.03 / $854.43 / $1,059.49	Professional		$712.03	$854.43	$1,059.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $823.60 / $823.60 / $823.60	Professional		$823.60	$823.60	$823.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.76 / $702.35 / $1,155.59	Facility		$550.76	$702.35	$1,155.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.46 / $772.94 / $1,185.16	Professional		$575.46	$772.94	$1,185.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.09 / $591.00 / $933.45	Professional		$443.09	$591.00	$933.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.15 / $550.76 / $767.14	Professional		$486.15	$550.76	$767.14