Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.28 / $3,596.00 / $10,836.00	Facility		$863.28	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.42 / $893.88 / $1,220.30	Professional		$738.42	$893.88	$1,220.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.16 / $1,358.90 / $4,275.00	Facility		$827.16	$1,358.90	$4,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.83 / $939.15 / $1,312.49	Professional		$684.83	$939.15	$1,312.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $775.47 / $775.47 / $775.47	Facility		$775.47	$775.47	$775.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.09 / $1,107.31 / $1,695.03	Professional		$841.09	$1,107.31	$1,695.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,453.62	Facility		$55.00	$55.00	$16,453.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,749.25 / $5,871.04 / $6,977.25	Professional		$5,749.25	$5,871.04	$6,977.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.28 / $1,082.07 / $1,800.05	Facility		$793.28	$1,082.07	$1,800.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $869.96 / $1,210.03 / $1,423.57	Professional		$869.96	$1,210.03	$1,423.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.80 / $1,388.80 / $1,388.80	Professional		$1,388.80	$1,388.80	$1,388.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.28 / $1,097.80 / $2,074.89	Facility		$789.28	$1,097.80	$2,074.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.79 / $1,116.55 / $1,697.40	Professional		$843.79	$1,116.55	$1,697.40
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.22 / $935.30 / $1,506.68	Professional		$680.22	$935.30	$1,506.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $770.08 / $1,058.86	Professional		$674.98	$770.08	$1,058.86