Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.79 / $2,783.00 / $7,542.00	Facility		$752.79	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.84 / $829.63 / $1,466.85	Professional		$673.84	$829.63	$1,466.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $9,032.74 / $17,826.21	Facility		$4,200.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.46 / $1,091.66 / $1,452.56	Professional		$862.46	$1,091.66	$1,452.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $876.23 / $876.23	Facility		$80.00	$876.23	$876.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.80 / $1,039.80 / $1,039.80	Facility		$1,039.80	$1,039.80	$1,039.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $1,016.87 / $1,494.16	Professional		$748.82	$1,016.87	$1,494.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,931.31 / $16,394.00 / $19,913.50	Facility		$5,931.31	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,584.16 / $6,822.32 / $7,833.90	Professional		$6,584.16	$6,822.32	$7,833.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.91 / $925.66 / $1,488.90	Facility		$731.91	$925.66	$1,488.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,344.00 / $1,666.56	Professional		$1,120.00	$1,344.00	$1,666.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.60 / $831.60 / $831.60	Professional		$831.60	$831.60	$831.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.23 / $933.88 / $1,605.38	Facility		$735.23	$933.88	$1,605.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.02 / $1,055.94 / $1,679.28	Professional		$772.02	$1,055.94	$1,679.28
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 $572.92 / $794.41 / $1,307.56	Professional		$572.92	$794.41	$1,307.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $861.07 / $1,209.78	Professional		$764.71	$861.07	$1,209.78