Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,673.00 / $7,495.00	Facility		$652.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.49 / $436.67 / $648.66	Professional		$383.49	$436.67	$648.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $1,667.01 / $3,371.00	Facility		$917.66	$1,667.01	$3,371.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.30 / $496.35 / $691.53	Professional		$385.30	$496.35	$691.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $406.26 / $406.26 / $415.66	Facility		$406.26	$406.26	$415.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $2,213.00	Facility		$684.87	$908.58	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.67 / $543.98 / $831.62	Professional		$400.67	$543.98	$831.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,590.15 / $11,500.00 / $16,394.00	Facility		$3,590.15	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,035.76 / $3,100.80 / $3,695.33	Professional		$3,035.76	$3,100.80	$3,695.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.07 / $485.76 / $893.11	Facility		$392.07	$485.76	$893.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.34 / $640.40 / $778.52	Professional		$481.34	$640.40	$778.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $619.29 / $1,088.00	Professional		$5.00	$619.29	$1,088.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.60 / $495.92 / $940.80	Facility		$394.60	$495.92	$940.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.68 / $566.07 / $1,045.26	Professional		$412.68	$566.07	$1,045.26
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,494.00 / $4,795.00	Facility		$663.00	$2,494.00	$4,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $438.49 / $704.65	Professional		$327.08	$438.49	$704.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $415.53 / $561.52	Professional		$357.23	$415.53	$561.52