Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $10,836.00	Facility		$767.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.77 / $641.64 / $945.28	Professional		$567.77	$641.64	$945.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $726.21 / $966.30	Professional		$576.72	$726.21	$966.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $597.39 / $597.39 / $612.75	Facility		$597.39	$597.39	$612.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $2,530.00	Facility		$1,512.62	$2,006.70	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.16 / $791.76 / $1,221.06	Professional		$564.16	$791.76	$1,221.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $26,542.00	Facility		$7,929.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,429.52 / $4,513.20 / $5,390.25	Professional		$4,429.52	$4,513.20	$5,390.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.45 / $679.41 / $1,258.24	Facility		$566.45	$679.41	$1,258.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.31 / $934.37 / $1,135.90	Professional		$702.31	$934.37	$1,135.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $809.40 / $1,594.70	Professional		$5.00	$809.40	$1,594.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.76 / $695.45 / $1,388.91	Facility		$567.76	$695.45	$1,388.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.90 / $826.37 / $1,543.38	Professional		$588.90	$826.37	$1,543.38
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 $480.04 / $649.09 / $1,058.58	Professional		$480.04	$649.09	$1,058.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $606.23 / $819.00	Professional		$521.21	$606.23	$819.00