Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $3,596.00 / $12,040.00	Facility		$812.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $258.14 / $406.05	Professional		$228.21	$258.14	$406.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.85 / $3,958.31 / $7,726.91	Facility		$2,016.85	$3,958.31	$7,726.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $245.67 / $392.34	Professional		$195.42	$245.67	$392.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $217.53 / $218.86	Facility		$217.53	$217.53	$218.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $3,125.00	Facility		$1,508.82	$2,001.65	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.65 / $328.84 / $509.46	Professional		$248.65	$328.84	$509.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.96 / $1,847.12 / $2,108.40	Professional		$1,806.96	$1,847.12	$2,108.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.18 / $303.08 / $517.13	Facility		$238.18	$303.08	$517.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.11 / $372.66 / $453.04	Professional		$280.11	$372.66	$453.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $377.10 / $627.79	Professional		$5.00	$377.10	$627.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.33 / $309.49 / $539.61	Facility		$238.33	$309.49	$539.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $350.00 / $592.75	Professional		$253.42	$350.00	$592.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,226.00 / $7,600.00	Facility		$1,190.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $271.26 / $422.72	Professional		$198.93	$271.26	$422.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $242.93 / $328.91	Professional		$207.88	$242.93	$328.91