Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $11,453.00	Facility		$767.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $630.91 / $1,104.16	Professional		$552.80	$630.91	$1,104.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $9,032.74 / $17,826.21	Facility		$4,349.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.66 / $726.31 / $992.78	Professional		$571.66	$726.31	$992.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $572.29 / $580.63	Facility		$80.00	$572.29	$580.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $1,214.04 / $2,955.25	Professional		$712.39	$1,214.04	$2,955.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.95 / $19,913.50 / $26,542.00	Facility		$2,925.95	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,523.12 / $4,609.35 / $5,390.33	Professional		$4,523.12	$4,609.35	$5,390.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $775.48 / $1,198.99	Facility		$601.40	$775.48	$1,198.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $770.65 / $924.78 / $1,146.73	Professional		$770.65	$924.78	$1,146.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.87 / $849.80 / $1,407.67	Professional		$654.87	$849.80	$1,407.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $792.32 / $1,254.26	Facility		$601.40	$792.32	$1,254.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.52 / $1,169.69 / $1,397.12	Professional		$596.52	$1,169.69	$1,397.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $11,178.00	Facility		$1,634.00	$4,425.00	$11,178.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.52 / $658.62 / $1,042.13	Professional		$481.52	$658.62	$1,042.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $596.52 / $830.07	Professional		$526.17	$596.52	$830.07