Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $10,836.00	Facility		$921.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.88 / $1,033.90 / $1,413.57	Professional		$850.88	$1,033.90	$1,413.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.91 / $1,628.02 / $8,317.00	Facility		$963.91	$1,628.02	$8,317.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.65 / $1,090.49 / $1,519.30	Professional		$855.65	$1,090.49	$1,519.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $895.13 / $895.13 / $895.13	Facility		$895.13	$895.13	$895.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.24 / $1,258.46 / $1,959.90	Professional		$973.24	$1,258.46	$1,959.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,774.67	Facility		$55.00	$55.00	$13,774.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,653.20 / $6,742.24 / $8,068.13	Professional		$6,653.20	$6,742.24	$8,068.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.59 / $1,198.90 / $2,066.69	Facility		$914.59	$1,198.90	$2,066.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.66 / $1,401.56 / $1,648.89	Professional		$1,007.66	$1,401.56	$1,648.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.40 / $1,386.40 / $1,386.40	Professional		$1,386.40	$1,386.40	$1,386.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.54 / $1,209.15 / $2,351.50	Facility		$914.54	$1,209.15	$2,351.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $985.04 / $1,293.01 / $2,017.02	Professional		$985.04	$1,293.01	$2,017.02
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 $787.62 / $1,082.97 / $1,673.68	Professional		$787.62	$1,082.97	$1,673.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $781.82 / $892.30 / $1,226.96	Professional		$781.82	$892.30	$1,226.96