Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $862.69 / $1,456.25	Professional		$755.88	$862.69	$1,456.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,382.16 / $9,391.66 / $19,142.24	Facility		$5,382.16	$9,391.66	$19,142.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.12 / $995.04 / $1,355.92	Professional		$786.12	$995.04	$1,355.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $495.56 / $495.56 / $771.43	Facility		$495.56	$495.56	$771.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.68 / $965.68 / $965.68	Facility		$965.68	$965.68	$965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.23 / $1,129.09 / $1,758.74	Professional		$849.23	$1,129.09	$1,758.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,190.20 / $26,542.00 / $28,277.30	Facility		$3,190.20	$26,542.00	$28,277.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,160.24 / $6,285.52 / $7,340.03	Professional		$6,160.24	$6,285.52	$7,340.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.82 / $1,088.18 / $1,682.69	Facility		$829.82	$1,088.18	$1,682.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.65 / $1,259.58 / $1,561.88	Professional		$1,049.65	$1,259.58	$1,561.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $883.09 / $1,403.62	Professional		$779.01	$883.09	$1,403.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.82 / $1,096.49 / $1,729.01	Facility		$829.82	$1,096.49	$1,729.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.21 / $1,178.72 / $1,777.81	Professional		$866.21	$1,178.72	$1,777.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.68 / $915.92 / $1,442.80	Professional		$671.68	$915.92	$1,442.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $813.55 / $1,130.03	Professional		$716.68	$813.55	$1,130.03