Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,783.00 / $7,542.00	Facility		$662.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.99 / $533.28 / $907.96	Professional		$471.99	$533.28	$907.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,408.96 / $4,278.00 / $8,431.35	Facility		$2,408.96	$4,278.00	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.31 / $598.41 / $839.35	Professional		$483.31	$598.41	$839.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $487.96 / $493.50	Facility		$80.00	$487.96	$493.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.47 / $707.76 / $1,095.25	Professional		$530.47	$707.76	$1,095.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $11,500.00 / $16,394.00	Facility		$1,981.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,565.78 / $4,922.89 / $5,085.35	Professional		$4,565.78	$4,922.89	$5,085.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.55 / $735.12 / $1,136.33	Facility		$518.55	$735.12	$1,136.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $652.59 / $783.11 / $971.05	Professional		$652.59	$783.11	$971.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.90 / $919.90 / $919.90	Professional		$919.90	$919.90	$919.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.55 / $740.80 / $1,165.25	Facility		$518.55	$740.80	$1,165.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $748.58 / $1,117.86	Professional		$534.79	$748.58	$1,117.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.13 / $566.90 / $933.91	Professional		$420.13	$566.90	$933.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.57 / $504.51 / $703.22	Professional		$445.57	$504.51	$703.22