Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,893.00	Facility		$803.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $551.13 / $929.34	Professional		$477.26	$551.13	$929.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,476.82 / $4,352.55 / $8,568.21	Facility		$2,476.82	$4,352.55	$8,568.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.56 / $637.39 / $868.55	Professional		$503.56	$637.39	$868.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $508.42 / $513.44	Facility		$80.00	$508.42	$513.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $622.33 / $622.33	Facility		$622.33	$622.33	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.91 / $708.91 / $1,089.49	Professional		$530.91	$708.91	$1,089.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,052.71 / $11,500.00 / $26,542.00	Facility		$2,052.71	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,970.80 / $4,044.56 / $4,732.64	Professional		$3,970.80	$4,044.56	$4,732.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $505.43 / $634.87 / $985.23	Facility		$505.43	$634.87	$985.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.45 / $811.74 / $1,006.56	Professional		$676.45	$811.74	$1,006.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $584.29 / $584.29	Professional		$584.29	$584.29	$584.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.14 / $639.39 / $1,045.50	Facility		$509.14	$639.39	$1,045.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.44 / $730.02 / $1,119.68	Professional		$546.44	$730.02	$1,119.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.19 / $571.32 / $894.24	Professional		$418.19	$571.32	$894.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $461.86 / $522.63 / $729.11	Professional		$461.86	$522.63	$729.11