Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.45 / $2,496.00 / $7,495.00	Facility		$427.45	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $410.67 / $601.75	Professional		$274.67	$410.67	$601.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,243.05 / $8,279.29	Facility		$2,189.96	$4,243.05	$8,279.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.73 / $408.10 / $585.50	Professional		$270.73	$408.10	$585.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $271.20 / $271.86	Facility		$80.00	$271.20	$271.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Facility		$503.06	$503.06	$503.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.41 / $482.59 / $778.74	Professional		$314.41	$482.59	$778.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.08 / $11,500.00 / $16,394.00	Facility		$1,396.08	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.16 / $3,191.44 / $3,685.65	Professional		$2,182.16	$3,191.44	$3,685.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $449.26 / $692.81	Facility		$305.14	$449.26	$692.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $378.04 / $540.89 / $769.72	Professional		$378.04	$540.89	$769.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $536.52 / $1,023.88	Professional		$325.05	$536.52	$1,023.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.17 / $450.68 / $703.50	Facility		$305.17	$450.68	$703.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.79 / $502.30 / $850.15	Professional		$322.79	$502.30	$850.15
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 $354.18 / $473.67 / $733.04	Professional		$354.18	$473.67	$733.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.96 / $411.90 / $579.45	Professional		$364.96	$411.90	$579.45