Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,673.00 / $7,495.00	Facility		$657.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.98 / $513.95 / $719.17	Professional		$461.98	$513.95	$719.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.94 / $4,558.00 / $8,995.25	Facility		$2,354.94	$4,558.00	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $544.28 / $780.55	Professional		$391.50	$544.28	$780.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $438.39 / $438.39 / $438.39	Facility		$438.39	$438.39	$438.39
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 $501.01 / $656.09 / $1,014.28	Professional		$501.01	$656.09	$1,014.28
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 $4,505.85 / $4,505.85 / $4,505.85	Professional		$4,505.85	$4,505.85	$4,505.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.10 / $641.49 / $1,074.23	Facility		$481.10	$641.49	$1,074.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $618.57 / $728.00 / $856.48	Professional		$618.57	$728.00	$856.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $710.90 / $710.90 / $710.90	Professional		$710.90	$710.90	$710.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.63 / $644.23 / $1,233.95	Facility		$481.63	$644.23	$1,233.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.01 / $665.13 / $1,099.40	Professional		$501.01	$665.13	$1,099.40
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 $391.57 / $556.17 / $859.55	Professional		$391.57	$556.17	$859.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.10 / $463.98 / $642.55	Professional		$406.10	$463.98	$642.55