Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,496.00 / $7,495.00	Facility		$569.00	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.22 / $488.06 / $685.75	Professional		$349.22	$488.06	$685.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $548.38 / $2,124.08	Facility		$304.20	$548.38	$2,124.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.98 / $475.37 / $743.65	Professional		$310.98	$475.37	$743.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $345.47 / $345.47 / $553.48	Facility		$345.47	$345.47	$553.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.21 / $533.50 / $2,530.00	Facility		$450.21	$533.50	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $540.40 / $871.00	Professional		$363.08	$540.40	$871.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,600.34	Facility		$55.00	$55.00	$2,600.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,682.16 / $3,803.52 / $4,501.43	Professional		$2,682.16	$3,803.52	$4,501.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.25 / $482.18 / $811.56	Facility		$345.25	$482.18	$811.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $670.71 / $928.67	Professional		$473.07	$670.71	$928.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $412.30 / $1,417.40	Professional		$5.00	$412.30	$1,417.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.22 / $485.96 / $929.70	Facility		$349.22	$485.96	$929.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.37 / $592.05 / $1,076.04	Professional		$378.37	$592.05	$1,076.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.83 / $516.74 / $839.58	Professional		$364.83	$516.74	$839.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.33 / $514.34 / $698.11	Professional		$440.33	$514.34	$698.11