Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.71 / $657.70 / $1,063.83	Professional		$549.71	$657.70	$1,063.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $763.23 / $1,040.03	Professional		$602.98	$763.23	$1,040.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $605.38 / $610.94	Facility		$80.00	$605.38	$610.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $735.78	Facility		$735.78	$735.78	$735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.89 / $809.97 / $1,199.29	Professional		$600.89	$809.97	$1,199.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,426.16 / $11,500.00 / $26,542.00	Facility		$2,426.16	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,697.28 / $4,814.39 / $5,593.20	Professional		$4,697.28	$4,814.39	$5,593.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.44 / $728.87 / $1,139.59	Facility		$567.44	$728.87	$1,139.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $799.76 / $959.72 / $1,190.05	Professional		$799.76	$959.72	$1,190.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.00 / $1,235.63 / $2,435.73	Professional		$1,076.00	$1,235.63	$2,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.44 / $731.79 / $1,188.91	Facility		$567.44	$731.79	$1,188.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.67 / $840.69 / $1,293.38	Professional		$617.67	$840.69	$1,293.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.50 / $653.94 / $1,038.97	Professional		$479.50	$653.94	$1,038.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $617.67 / $862.27	Professional		$546.05	$617.67	$862.27