Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,377.00	Facility		$923.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.21 / $863.12 / $1,360.21	Professional		$732.21	$863.12	$1,360.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,957.41 / $4,243.05 / $7,336.37	Facility		$1,957.41	$4,243.05	$7,336.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.46 / $1,005.57 / $1,374.50	Professional		$791.46	$1,005.57	$1,374.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $806.30 / $807.80	Facility		$80.00	$806.30	$807.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $963.00	Facility		$963.00	$963.00	$963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.34 / $1,059.50 / $1,601.43	Professional		$772.34	$1,059.50	$1,601.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.56 / $11,500.00 / $26,542.00	Facility		$3,149.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,130.51 / $6,315.12 / $7,273.73	Professional		$6,130.51	$6,315.12	$7,273.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $770.66 / $960.86 / $1,490.20	Facility		$770.66	$960.86	$1,490.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.94 / $1,247.93 / $1,547.43	Professional		$1,039.94	$1,247.93	$1,547.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.90 / $1,035.90 / $1,035.90	Professional		$1,035.90	$1,035.90	$1,035.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.93 / $961.29 / $1,549.43	Facility		$773.93	$961.29	$1,549.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.90 / $1,092.98 / $1,704.58	Professional		$783.90	$1,092.98	$1,704.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.28 / $841.05 / $1,327.65	Professional		$621.28	$841.05	$1,327.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $710.04 / $800.72 / $1,122.60	Professional		$710.04	$800.72	$1,122.60