Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,224.00 / $11,453.00	Facility		$803.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.82 / $921.97 / $1,566.76	Professional		$807.82	$921.97	$1,566.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,348.89 / $8,431.35	Facility		$2,491.08	$4,348.89	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $821.43 / $836.59	Facility		$80.00	$821.43	$836.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.52 / $1,031.52 / $1,031.52	Facility		$1,031.52	$1,031.52	$1,031.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.78 / $1,214.70 / $1,872.83	Professional		$899.78	$1,214.70	$1,872.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,408.36 / $11,500.00 / $26,542.00	Facility		$3,408.36	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,712.56 / $6,792.49 / $7,841.70	Professional		$6,712.56	$6,792.49	$7,841.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.55 / $1,219.63 / $1,896.49	Facility		$890.55	$1,219.63	$1,896.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.21 / $1,345.46 / $1,668.36	Professional		$1,121.21	$1,345.46	$1,668.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.09 / $1,288.09 / $1,288.09	Professional		$1,288.09	$1,288.09	$1,288.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.55 / $1,221.99 / $1,934.17	Facility		$890.55	$1,221.99	$1,934.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,281.76 / $1,918.72	Professional		$930.75	$1,281.76	$1,918.72
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 $732.59 / $990.93 / $1,570.95	Professional		$732.59	$990.93	$1,570.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $765.54 / $869.24 / $1,206.89	Professional		$765.54	$869.24	$1,206.89