Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,673.00 / $7,495.00	Facility		$669.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $590.04 / $860.38	Professional		$523.39	$590.04	$860.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.88 / $3,680.36 / $7,294.23	Facility		$2,062.88	$3,680.36	$7,294.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $667.00 / $887.50	Professional		$529.69	$667.00	$887.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $553.58 / $553.58 / $565.61	Facility		$553.58	$553.58	$565.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $1,929.30 / $2,361.01	Facility		$1,512.62	$1,929.30	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.66 / $725.75 / $1,114.65	Professional		$526.66	$725.75	$1,114.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $16,394.00	Facility		$7,929.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,079.92 / $4,155.84 / $4,961.03	Professional		$4,079.92	$4,155.84	$4,961.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.96 / $630.16 / $1,200.11	Facility		$511.96	$630.16	$1,200.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $646.51 / $860.14 / $1,045.65	Professional		$646.51	$860.14	$1,045.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $1,002.51 / $2,131.17	Professional		$584.50	$1,002.51	$2,131.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.09 / $641.91 / $1,263.79	Facility		$517.09	$641.91	$1,263.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.62 / $758.64 / $1,429.26	Professional		$537.62	$758.64	$1,429.26
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 $436.24 / $590.79 / $937.40	Professional		$436.24	$590.79	$937.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.80 / $558.19 / $754.42	Professional		$479.80	$558.19	$754.42