Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.82 / $3,682.00 / $12,281.00	Facility		$901.82	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.66 / $993.69 / $1,563.14	Professional		$870.66	$993.69	$1,563.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,037.00 / $19,342.15	Facility		$5,264.12	$9,037.00	$19,342.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.93 / $1,145.42 / $1,560.85	Professional		$904.93	$1,145.42	$1,560.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $880.85 / $898.54	Facility		$80.00	$880.85	$898.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.36 / $1,110.36 / $1,110.36	Facility		$1,110.36	$1,110.36	$1,110.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.47 / $1,303.41 / $1,999.63	Professional		$970.47	$1,303.41	$1,999.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,132.00	Facility		$55.00	$55.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,080.40 / $7,223.84 / $8,441.33	Professional		$7,080.40	$7,223.84	$8,441.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.81 / $1,236.65 / $1,890.00	Facility		$952.81	$1,236.65	$1,890.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.93 / $1,448.31 / $1,795.90	Professional		$1,206.93	$1,448.31	$1,795.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.09 / $1,155.09 / $1,155.09	Professional		$1,155.09	$1,155.09	$1,155.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $952.81 / $1,237.25 / $1,971.39	Facility		$952.81	$1,237.25	$1,971.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.16 / $1,354.66 / $2,037.54	Professional		$998.16	$1,354.66	$2,037.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,998.00 / $16,000.00	Facility		$2,605.00	$6,998.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.78 / $1,055.52 / $1,667.03	Professional		$778.78	$1,055.52	$1,667.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $824.06 / $936.27 / $1,298.81	Professional		$824.06	$936.27	$1,298.81