Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,244.00 / $7,513.00	Facility		$524.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.73 / $546.38 / $906.17	Professional		$478.73	$546.38	$906.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.17 / $2,236.39 / $4,581.22	Facility		$1,301.17	$2,236.39	$4,581.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.71 / $629.98 / $858.47	Professional		$497.71	$629.98	$858.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $499.08 / $505.15	Facility		$80.00	$499.08	$505.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.57 / $706.72 / $1,090.38	Professional		$529.57	$706.72	$1,090.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,027.80 / $11,500.00 / $12,000.00	Facility		$2,027.80	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.96 / $3,995.68 / $4,672.35	Professional		$3,920.96	$3,995.68	$4,672.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.75 / $644.57 / $1,013.16	Facility		$504.75	$644.57	$1,013.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $763.07 / $993.91	Professional		$667.95	$763.07	$993.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.10 / $706.10 / $706.10	Professional		$706.10	$706.10	$706.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.01 / $646.28 / $1,044.94	Facility		$509.01	$646.28	$1,044.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.85 / $729.16 / $1,115.02	Professional		$540.85	$729.16	$1,115.02
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.98 / $577.76 / $894.57	Professional		$420.98	$577.76	$894.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.06 / $516.52 / $719.74	Professional		$456.06	$516.52	$719.74