Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,102.00 / $10,234.00	Facility		$714.00	$3,102.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.99 / $638.11 / $870.07	Professional		$525.99	$638.11	$870.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,997.44 / $7,275.80 / $14,454.58	Facility		$3,997.44	$7,275.80	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.17 / $638.28 / $1,008.58	Professional		$476.17	$638.28	$1,008.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $461.50 / $461.50 / $461.50	Facility		$461.50	$461.50	$461.50
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 $542.10 / $745.23 / $1,213.88	Professional		$542.10	$745.23	$1,213.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,737.60 / $26,542.00 / $26,542.00	Facility		$4,737.60	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,018.00 / $4,669.60 / $5,424.83	Professional		$4,018.00	$4,669.60	$5,424.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.34 / $738.44 / $1,460.62	Facility		$514.34	$738.44	$1,460.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $830.46 / $1,129.54	Professional		$654.29	$830.46	$1,129.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $622.79 / $622.79 / $622.79	Professional		$622.79	$622.79	$622.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.14 / $754.31 / $1,492.97	Facility		$513.14	$754.31	$1,492.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.08 / $774.59 / $1,372.22	Professional		$554.08	$774.59	$1,372.22
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 $554.40 / $732.83 / $1,132.56	Professional		$554.40	$732.83	$1,132.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $603.45 / $850.11	Professional		$535.57	$603.45	$850.11