Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $2,759.00 / $7,542.00	Facility		$726.00	$2,759.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.55 / $731.51 / $925.10	Professional		$578.55	$731.51	$925.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.42 / $7,275.80 / $14,454.58	Facility		$3,880.42	$7,275.80	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $752.46 / $1,055.43	Professional		$563.04	$752.46	$1,055.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $574.41 / $574.41 / $574.41	Facility		$574.41	$574.41	$574.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $840.48 / $1,280.36	Professional		$640.95	$840.48	$1,280.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,623.00 / $7,623.00 / $7,623.00	Professional		$7,623.00	$7,623.00	$7,623.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.50 / $814.54 / $1,545.78	Facility		$622.50	$814.54	$1,545.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $822.51 / $968.03 / $1,138.85	Professional		$822.51	$968.03	$1,138.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.03 / $671.70 / $775.80	Professional		$584.03	$671.70	$775.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.50 / $823.81 / $1,704.19	Facility		$622.50	$823.81	$1,704.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.98 / $846.20 / $1,380.36	Professional		$647.98	$846.20	$1,380.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.90 / $696.51 / $1,088.63	Professional		$504.90	$696.51	$1,088.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $539.99 / $610.52 / $855.50	Professional		$539.99	$610.52	$855.50