Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.76 / $3,682.00 / $12,729.00	Facility		$972.76	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $1,019.20 / $1,533.64	Professional		$902.57	$1,019.20	$1,533.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,099.39 / $7,341.00 / $14,891.13	Facility		$4,099.39	$7,341.00	$14,891.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.79 / $1,028.16 / $1,569.34	Professional		$804.79	$1,028.16	$1,569.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $938.36 / $938.36 / $938.36	Facility		$938.36	$938.36	$938.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.00 / $3,795.09 / $4,927.06	Facility		$2,847.00	$3,795.09	$4,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.10 / $1,258.50 / $1,951.58	Professional		$883.10	$1,258.50	$1,951.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,375.48 / $7,375.48 / $8,421.08	Professional		$7,375.48	$7,375.48	$8,421.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.61 / $1,185.48 / $2,084.46	Facility		$903.61	$1,185.48	$2,084.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.75 / $1,477.78 / $1,796.52	Professional		$1,110.75	$1,477.78	$1,796.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,050.30 / $2,597.40	Professional		$6.00	$1,050.30	$2,597.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.96 / $1,208.32 / $2,222.58	Facility		$903.96	$1,208.32	$2,222.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $926.71 / $1,323.45 / $2,448.67	Professional		$926.71	$1,323.45	$2,448.67
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 $768.96 / $1,057.90 / $1,666.44	Professional		$768.96	$1,057.90	$1,666.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $824.34 / $962.45 / $1,304.53	Professional		$824.34	$962.45	$1,304.53