Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $779.16 / $1,325.35	Professional		$689.33	$779.16	$1,325.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.16 / $4,982.16 / $7,406.64	Facility		$2,084.16	$4,982.16	$7,406.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $898.42 / $1,224.26	Professional		$709.79	$898.42	$1,224.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $699.43 / $711.50	Facility		$80.00	$699.43	$711.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $873.43	Facility		$873.43	$873.43	$873.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.24 / $1,040.78 / $1,591.54	Professional		$781.24	$1,040.78	$1,591.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,885.08 / $11,500.00 / $26,542.00	Facility		$2,885.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,283.54 / $6,490.90 / $6,638.18	Professional		$6,283.54	$6,490.90	$6,638.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.23 / $1,065.81 / $1,625.50	Facility		$754.23	$1,065.81	$1,625.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $949.38 / $1,139.25 / $1,412.67	Professional		$949.38	$1,139.25	$1,412.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.43 / $1,224.90 / $1,329.75	Professional		$891.43	$1,224.90	$1,329.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.76 / $1,071.20 / $1,683.75	Facility		$755.76	$1,071.20	$1,683.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,098.88 / $1,624.83	Professional		$787.82	$1,098.88	$1,624.83
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 $623.57 / $835.53 / $1,326.45	Professional		$623.57	$835.53	$1,326.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $735.70 / $1,022.19	Professional		$648.21	$735.70	$1,022.19