Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $12,281.00	Facility		$788.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.94 / $723.71 / $1,196.33	Professional		$604.94	$723.71	$1,196.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.22 / $1,125.83 / $3,382.01	Facility		$667.22	$1,125.83	$3,382.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $662.05 / $669.63	Facility		$80.00	$662.05	$669.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.76 / $926.15 / $1,377.60	Professional		$683.76	$926.15	$1,377.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,654.13	Facility		$55.00	$55.00	$3,654.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,175.52 / $5,300.32 / $6,164.70	Professional		$5,175.52	$5,300.32	$6,164.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $842.90 / $1,286.04	Facility		$681.40	$842.90	$1,286.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $881.44 / $1,057.73 / $1,311.58	Professional		$881.44	$1,057.73	$1,311.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.16 / $1,362.80 / $2,683.68	Professional		$1,178.16	$1,362.80	$2,683.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $849.89 / $1,310.20	Facility		$681.40	$849.89	$1,310.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.91 / $948.51 / $1,441.43	Professional		$691.91	$948.51	$1,441.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.75 / $722.34 / $1,125.15	Professional		$532.75	$722.34	$1,125.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $681.40 / $949.94	Professional		$601.82	$681.40	$949.94