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 $407.54 / $449.77 / $622.48	Professional		$407.54	$449.77	$622.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,716.69 / $4,739.10 / $9,689.51	Facility		$2,716.69	$4,739.10	$9,689.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.88 / $490.51 / $683.39	Professional		$384.88	$490.51	$683.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $384.42 / $384.42 / $384.42	Facility		$384.42	$384.42	$384.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.34 / $570.91 / $882.17	Professional		$438.34	$570.91	$882.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,115.04 / $3,183.68 / $3,565.28	Professional		$3,115.04	$3,183.68	$3,565.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.48 / $536.01 / $938.23	Facility		$415.48	$536.01	$938.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.77 / $636.45 / $748.76	Professional		$540.77	$636.45	$748.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.60 / $617.60 / $617.60	Professional		$617.60	$617.60	$617.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.48 / $540.99 / $1,080.34	Facility		$415.48	$540.99	$1,080.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.34 / $582.17 / $893.44	Professional		$438.34	$582.17	$893.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $5,210.00 / $10,476.00	Facility		$1,691.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $467.41 / $740.70	Professional		$352.81	$467.41	$740.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.03 / $405.39 / $561.91	Professional		$355.03	$405.39	$561.91