Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,213.00 / $10,836.00	Facility		$714.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $203.08 / $314.85	Professional		$180.39	$203.08	$314.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,899.20 / $4,007.51 / $8,246.48	Facility		$1,899.20	$4,007.51	$8,246.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $218.46 / $301.44	Professional		$179.14	$218.46	$301.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.69 / $174.69 / $175.09	Facility		$174.69	$174.69	$175.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $2,530.00	Facility		$1,508.82	$2,001.65	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $258.64 / $408.97	Professional		$195.29	$258.64	$408.97
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 $1,429.92 / $1,464.16 / $1,669.95	Professional		$1,429.92	$1,464.16	$1,669.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.15 / $233.71 / $406.34	Facility		$186.15	$233.71	$406.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $294.97 / $358.59	Professional		$221.71	$294.97	$358.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $277.10 / $500.00	Professional		$5.00	$277.10	$500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $242.00 / $421.52	Facility		$186.57	$242.00	$421.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $272.88 / $489.00	Professional		$200.27	$272.88	$489.00
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 $155.90 / $205.75 / $325.45	Professional		$155.90	$205.75	$325.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $192.31 / $260.55	Professional		$164.54	$192.31	$260.55