Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.06 / $848.05 / $1,432.84	Professional		$743.06	$848.05	$1,432.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $8,733.65 / $18,252.08	Facility		$4,606.10	$8,733.65	$18,252.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.89 / $978.29 / $1,333.09	Professional		$772.89	$978.29	$1,333.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $760.48 / $773.55	Facility		$80.00	$760.48	$773.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $950.42	Facility		$950.42	$950.42	$950.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.94 / $1,108.16 / $1,672.35	Professional		$824.94	$1,108.16	$1,672.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,924.25 / $19,913.50 / $26,542.00	Facility		$3,924.25	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,062.72 / $6,185.20 / $7,224.75	Professional		$6,062.72	$6,185.20	$7,224.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.95 / $1,024.48 / $1,646.49	Facility		$804.95	$1,024.48	$1,646.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.06 / $1,239.68 / $1,537.20	Professional		$1,033.06	$1,239.68	$1,537.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.40 / $1,045.40 / $1,045.40	Professional		$1,045.40	$1,045.40	$1,045.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.46 / $1,040.60 / $1,684.00	Facility		$807.46	$1,040.60	$1,684.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.93 / $1,140.48 / $1,738.91	Professional		$840.93	$1,140.48	$1,738.91
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 $649.50 / $892.18 / $1,394.65	Professional		$649.50	$892.18	$1,394.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.35 / $800.47 / $1,112.29	Professional		$705.35	$800.47	$1,112.29