Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $3,174.00 / $10,836.00	Facility		$524.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $371.49 / $569.07	Professional		$245.13	$371.49	$569.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,297.80 / $8,279.29	Facility		$2,326.83	$4,297.80	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.35 / $375.30 / $538.00	Professional		$245.35	$375.30	$538.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $249.56 / $3,861.42 / $3,861.42	Facility		$249.56	$3,861.42	$3,861.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $456.19 / $456.19	Facility		$456.19	$456.19	$456.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.19 / $449.35 / $722.40	Professional		$290.19	$449.35	$722.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,271.11 / $11,500.00 / $26,542.00	Facility		$1,271.11	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.96 / $2,943.76 / $3,398.33	Professional		$1,986.96	$2,943.76	$3,398.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.57 / $414.02 / $641.25	Facility		$276.57	$414.02	$641.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.35 / $492.14 / $709.74	Professional		$337.35	$492.14	$709.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.70 / $512.70 / $512.70	Professional		$512.70	$512.70	$512.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.75 / $415.41 / $646.29	Facility		$277.75	$415.41	$646.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $463.16 / $782.39	Professional		$294.04	$463.16	$782.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $432.35 / $683.11	Professional		$325.70	$432.35	$683.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $379.38 / $534.55	Professional		$336.52	$379.38	$534.55