Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,511.00 / $12,040.00	Facility		$714.00	$3,511.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $622.28 / $983.42	Professional		$457.47	$622.28	$983.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,407.29 / $8,321.85	Facility		$2,354.21	$4,407.29	$8,321.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.15 / $614.29 / $917.39	Professional		$446.15	$614.29	$917.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $443.17 / $445.79	Facility		$80.00	$443.17	$445.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $835.21	Facility		$835.21	$835.21	$835.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.74 / $766.50 / $1,202.78	Professional		$526.74	$766.50	$1,202.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $11,500.00 / $26,542.00	Facility		$2,301.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.12 / $4,810.08 / $5,455.05	Professional		$3,617.12	$4,810.08	$5,455.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $715.51 / $1,088.92	Facility		$500.97	$715.51	$1,088.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.24 / $834.94 / $1,149.91	Professional		$620.24	$834.94	$1,149.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.35 / $820.50 / $1,143.73	Professional		$502.35	$820.50	$1,143.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $722.78 / $1,141.54	Facility		$500.97	$722.78	$1,141.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $813.91 / $1,257.73	Professional		$535.70	$813.91	$1,257.73
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 $536.70 / $723.17 / $1,132.99	Professional		$536.70	$723.17	$1,132.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $545.23 / $618.97 / $866.08	Professional		$545.23	$618.97	$866.08