Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.61 / $2,500.00 / $7,316.00	Facility		$454.61	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $365.53 / $502.16	Professional		$277.35	$365.53	$502.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,069.23 / $4,112.29 / $8,041.22	Facility		$2,069.23	$4,112.29	$8,041.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $361.30 / $596.20	Professional		$262.99	$361.30	$596.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.49 / $257.49 / $257.49	Facility		$257.49	$257.49	$257.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $434.80 / $695.04	Professional		$310.00	$434.80	$695.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.66 / $16,394.00 / $16,394.00	Facility		$1,971.66	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.92 / $2,708.64 / $3,139.58	Professional		$2,085.92	$2,708.64	$3,139.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.29 / $415.89 / $792.06	Facility		$294.29	$415.89	$792.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $472.64 / $654.42	Professional		$362.90	$472.64	$654.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $407.00 / $407.00	Professional		$407.00	$407.00	$407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.29 / $418.54 / $809.82	Facility		$294.29	$418.54	$809.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $447.99 / $787.67	Professional		$319.70	$447.99	$787.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.12 / $431.92 / $667.51	Professional		$314.12	$431.92	$667.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $349.70 / $492.67	Professional		$310.30	$349.70	$492.67