Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,611.00 / $12,480.00	Facility		$945.00	$3,611.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $997.69 / $1,510.18	Professional		$877.59	$997.69	$1,510.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,767.31 / $4,881.66 / $9,576.77	Facility		$2,767.31	$4,881.66	$9,576.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.73 / $1,041.04 / $1,560.55	Professional		$782.73	$1,041.04	$1,560.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $888.26 / $888.26 / $919.54	Facility		$888.26	$888.26	$919.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.21 / $1,249.90 / $1,937.17	Professional		$899.21	$1,249.90	$1,937.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,223.00	Facility		$55.00	$55.00	$8,223.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,251.24 / $7,251.24 / $8,316.60	Professional		$7,251.24	$7,251.24	$8,316.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.55 / $1,111.64 / $1,951.46	Facility		$914.55	$1,111.64	$1,951.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.09 / $1,439.67 / $1,750.19	Professional		$1,082.09	$1,439.67	$1,750.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $923.84 / $1,200.90 / $2,014.26	Professional		$923.84	$1,200.90	$2,014.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.26 / $1,120.22 / $2,173.32	Facility		$915.26	$1,120.22	$2,173.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $925.66 / $1,325.62 / $2,401.19	Professional		$925.66	$1,325.62	$2,401.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.41 / $1,046.28 / $1,641.37	Professional		$770.41	$1,046.28	$1,641.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $933.39 / $1,259.63	Professional		$803.08	$933.39	$1,259.63