Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,188.00 / $10,893.00	Facility		$803.00	$3,188.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.02 / $932.46 / $1,584.26	Professional		$817.02	$932.46	$1,584.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,207.46 / $17,970.07 / $35,464.12	Facility		$8,207.46	$17,970.07	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.53 / $1,075.30 / $1,465.28	Professional		$849.53	$1,075.30	$1,465.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $829.09 / $844.94	Facility		$80.00	$829.09	$844.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $1,042.67	Facility		$1,042.67	$1,042.67	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.49 / $1,238.78 / $1,896.93	Professional		$934.49	$1,238.78	$1,896.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,445.64 / $26,542.00 / $37,623.85	Facility		$3,445.64	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,172.28 / $7,408.96 / $7,926.38	Professional		$7,172.28	$7,408.96	$7,926.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $902.09 / $1,253.75 / $1,914.50	Facility		$902.09	$1,253.75	$1,914.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.33 / $1,360.01 / $1,686.41	Professional		$1,133.33	$1,360.01	$1,686.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.20 / $1,363.20 / $1,589.97	Professional		$1,067.20	$1,363.20	$1,589.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.09 / $1,258.50 / $2,015.47	Facility		$902.09	$1,258.50	$2,015.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.82 / $1,308.57 / $1,940.81	Professional		$940.82	$1,308.57	$1,940.81
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 $735.98 / $1,000.14 / $1,588.98	Professional		$735.98	$1,000.14	$1,588.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.82 / $878.83 / $1,219.84	Professional		$773.82	$878.83	$1,219.84