Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.38 / $3,849.00 / $13,401.00	Facility		$931.38	$3,849.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.42 / $733.04 / $1,099.72	Professional		$652.42	$733.04	$1,099.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,977.04 / $7,324.30 / $14,448.17	Facility		$3,977.04	$7,324.30	$14,448.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.41 / $821.28 / $1,262.60	Professional		$644.41	$821.28	$1,262.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $631.15 / $631.15 / $637.65	Facility		$631.15	$631.15	$637.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,156.62 / $4,026.16 / $4,939.00	Facility		$3,156.62	$4,026.16	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.50 / $933.10 / $1,468.38	Professional		$666.50	$933.10	$1,468.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,064.05 / $11,064.05 / $11,064.05	Professional		$11,064.05	$11,064.05	$11,064.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.64 / $871.30 / $1,614.18	Facility		$683.64	$871.30	$1,614.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $792.33 / $1,054.14 / $1,281.50	Professional		$792.33	$1,054.14	$1,281.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,004.00 / $1,810.90	Professional		$6.00	$1,004.00	$1,810.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $683.64 / $892.18 / $1,940.44	Facility		$683.64	$892.18	$1,940.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.92 / $988.02 / $1,767.34	Professional		$686.92	$988.02	$1,767.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.54 / $782.89 / $1,219.07	Professional		$573.54	$782.89	$1,219.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $686.29 / $928.89	Professional		$588.02	$686.29	$928.89