Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,640.00 / $7,495.00	Facility		$657.00	$2,640.00	$7,495.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $637.50 / $637.50 / $637.50	Facility	50	$637.50	$637.50	$637.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $513.84 / $719.27	Professional		$403.66	$513.84	$719.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.02 / $3,928.93 / $7,586.76	Facility		$2,008.02	$3,928.93	$7,586.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.17 / $537.47 / $753.88	Professional		$402.17	$537.47	$753.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $419.94 / $419.94 / $419.94	Facility		$419.94	$419.94	$419.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.30 / $589.41 / $883.24	Professional		$448.30	$589.41	$883.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $16,394.00 / $16,394.00	Facility		$7,909.30	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.96 / $3,482.16 / $3,929.10	Professional		$3,360.96	$3,482.16	$3,929.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.30 / $539.04 / $952.75	Facility		$425.30	$539.04	$952.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.12 / $693.35 / $815.71	Professional		$589.12	$693.35	$815.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $464.00 / $464.00	Professional		$464.00	$464.00	$464.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.30 / $560.84 / $1,022.45	Facility		$425.30	$560.84	$1,022.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.05 / $600.04 / $946.41	Professional		$449.05	$600.04	$946.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $496.85 / $769.80	Professional		$355.25	$496.85	$769.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $435.92 / $613.26	Professional		$386.77	$435.92	$613.26