Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,377.00	Facility		$895.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $601.50 / $1,018.89	Professional		$527.03	$601.50	$1,018.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,352.55 / $9,252.58	Facility		$2,436.33	$4,352.55	$9,252.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.12 / $695.05 / $947.13	Professional		$549.12	$695.05	$947.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $548.25 / $555.17	Facility		$80.00	$548.25	$555.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $677.02 / $677.02	Facility		$677.02	$677.02	$677.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $781.38 / $1,223.33	Professional		$582.85	$781.38	$1,223.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,792.95 / $11,500.00 / $26,542.00	Facility		$2,792.95	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,231.33 / $9,231.33 / $9,231.33	Professional		$9,231.33	$9,231.33	$9,231.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.20 / $738.90 / $1,279.25	Facility		$570.20	$738.90	$1,279.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $735.89 / $883.07 / $1,095.00	Professional		$735.89	$883.07	$1,095.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $992.80 / $1,292.59	Professional		$654.59	$992.80	$1,292.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.86 / $739.97 / $1,320.10	Facility		$572.86	$739.97	$1,320.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.30 / $804.65 / $1,235.48	Professional		$598.30	$804.65	$1,235.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $5,125.00 / $10,939.00	Facility		$1,688.00	$5,125.00	$10,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $610.64 / $969.34	Professional		$457.98	$610.64	$969.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.45 / $569.21 / $792.84	Professional		$502.45	$569.21	$792.84