Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.51 / $1,193.74 / $1,426.79	Professional		$1,033.51	$1,193.74	$1,426.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.26 / $1,149.49 / $1,672.87	Professional		$963.26	$1,149.49	$1,672.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $965.27 / $965.27 / $965.27	Facility		$965.27	$965.27	$965.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.16 / $1,435.76 / $2,244.56	Professional		$963.16	$1,435.76	$2,244.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,985.94	Facility		$55.00	$55.00	$12,985.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,409.60 / $7,600.96 / $9,075.15	Professional		$7,409.60	$7,600.96	$9,075.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $1,263.82 / $2,376.90	Facility		$903.28	$1,263.82	$2,376.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.26 / $1,539.53 / $1,847.43	Professional		$1,334.26	$1,539.53	$1,847.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $830.20 / $830.20 / $830.20	Professional		$830.20	$830.20	$830.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $1,263.82 / $2,703.87	Facility		$903.28	$1,263.82	$2,703.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.67 / $1,480.06 / $2,559.71	Professional		$970.67	$1,480.06	$2,559.71
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $3,287.00	Facility		$365.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.98 / $1,186.47 / $1,847.61	Professional		$903.98	$1,186.47	$1,847.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $875.96 / $1,005.61 / $1,369.51	Professional		$875.96	$1,005.61	$1,369.51