Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $445.12 / $622.23	Professional		$407.82	$445.12	$622.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $381.65 / $381.65 / $381.65	Facility		$381.65	$381.65	$381.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.78 / $566.72 / $878.03	Professional		$440.78	$566.72	$878.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,979.24 / $26,542.00 / $26,542.00	Facility		$1,979.24	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.51 / $3,410.46 / $3,532.88	Professional		$3,301.51	$3,410.46	$3,532.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.77 / $574.95 / $928.31	Facility		$410.77	$574.95	$928.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $630.50 / $741.76	Professional		$535.72	$630.50	$741.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $723.80 / $723.80 / $723.80	Professional		$723.80	$723.80	$723.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.77 / $576.30 / $1,069.19	Facility		$410.77	$576.30	$1,069.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.64 / $577.13 / $955.83	Professional		$443.64	$577.13	$955.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $480.76 / $774.45	Professional		$349.64	$480.76	$774.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $401.44 / $556.71	Professional		$351.71	$401.44	$556.71