Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.59 / $3,570.00 / $12,941.00	Facility		$889.59	$3,570.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $676.54 / $1,142.93	Professional		$557.84	$676.54	$1,142.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,441.66 / $9,037.00 / $17,826.21	Facility		$4,441.66	$9,037.00	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.52 / $780.37 / $1,063.39	Professional		$616.52	$780.37	$1,063.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $610.29 / $619.98	Facility		$80.00	$610.29	$619.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.48 / $758.48 / $758.48	Facility		$758.48	$758.48	$758.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.79 / $881.06 / $1,356.51	Professional		$657.79	$881.06	$1,356.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,913.50	Facility		$55.00	$55.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,719.42 / $5,719.42 / $5,764.05	Professional		$5,719.42	$5,719.42	$5,764.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.64 / $829.16 / $1,368.00	Facility		$645.64	$829.16	$1,368.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.44 / $989.33 / $1,226.76	Professional		$824.44	$989.33	$1,226.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $870.60 / $870.60	Professional		$870.60	$870.60	$870.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.64 / $830.06 / $1,441.50	Facility		$645.64	$830.06	$1,441.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.42 / $914.17 / $1,387.22	Professional		$676.42	$914.17	$1,387.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.72 / $722.39 / $1,120.25	Professional		$522.72	$722.39	$1,120.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $638.51 / $887.91	Professional		$562.91	$638.51	$887.91