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 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.89 / $844.62 / $1,426.65	Professional		$708.89	$844.62	$1,426.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.67 / $9,092.56 / $18,252.08	Facility		$4,822.67	$9,092.56	$18,252.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.86 / $974.78 / $1,328.31	Professional		$764.86	$974.78	$1,328.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $757.86 / $770.85	Facility		$80.00	$757.86	$770.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.66 / $1,103.84 / $1,697.24	Professional		$821.66	$1,103.84	$1,697.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,470.08 / $19,913.50 / $26,542.00	Facility		$5,470.08	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,132.77 / $7,132.77 / $7,192.73	Professional		$7,132.77	$7,132.77	$7,192.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.86 / $1,036.10 / $1,650.00	Facility		$803.86	$1,036.10	$1,650.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.63 / $1,234.34 / $1,530.59	Professional		$1,028.63	$1,234.34	$1,530.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,092.80 / $1,092.80	Professional		$1,092.80	$1,092.80	$1,092.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.40 / $1,057.48 / $1,689.60	Facility		$804.40	$1,057.48	$1,689.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.57 / $1,143.79 / $1,731.87	Professional		$843.57	$1,143.79	$1,731.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.91 / $883.85 / $1,391.28	Professional		$646.91	$883.85	$1,391.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $702.31 / $797.01 / $1,107.55	Professional		$702.31	$797.01	$1,107.55