Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,783.00 / $7,542.00	Facility		$661.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $459.16 / $746.65	Professional		$401.81	$459.16	$746.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.17 / $4,200.00 / $8,212.35	Facility		$2,116.17	$4,200.00	$8,212.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $528.22 / $722.02	Professional		$415.75	$528.22	$722.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $406.64 / $408.61	Facility		$80.00	$406.64	$408.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $518.54	Facility		$518.54	$518.54	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.60 / $584.14 / $895.12	Professional		$438.60	$584.14	$895.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,706.44 / $11,500.00 / $16,394.00	Facility		$1,706.44	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,332.48 / $3,386.64 / $3,918.90	Professional		$3,332.48	$3,386.64	$3,918.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.43 / $522.29 / $822.83	Facility		$418.43	$522.29	$822.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $563.64 / $676.37 / $838.69	Professional		$563.64	$676.37	$838.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.17 / $746.79 / $931.68	Professional		$485.17	$746.79	$931.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.57 / $525.64 / $844.78	Facility		$422.57	$525.64	$844.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.06 / $604.65 / $920.55	Professional		$451.06	$604.65	$920.55
United Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,193.00 / $4,509.00	Facility		$603.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.32 / $469.41 / $740.15	Professional		$348.32	$469.41	$740.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $435.24 / $608.86	Professional		$384.84	$435.24	$608.86