Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,184.00 / $10,639.00	Facility		$797.00	$3,184.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.87 / $773.01 / $1,259.74	Professional		$660.87	$773.01	$1,259.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,512.24 / $6,432.06 / $12,610.23	Facility		$3,512.24	$6,432.06	$12,610.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.09 / $766.20 / $1,148.57	Professional		$576.09	$766.20	$1,148.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $637.57 / $637.57 / $637.57	Facility		$637.57	$637.57	$637.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.42 / $966.53 / $1,492.96	Professional		$734.42	$966.53	$1,492.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,877.00 / $6,877.00 / $6,877.00	Professional		$6,877.00	$6,877.00	$6,877.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.16 / $942.35 / $1,580.78	Facility		$704.16	$942.35	$1,580.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $906.61 / $1,067.01 / $1,255.30	Professional		$906.61	$1,067.01	$1,255.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.00 / $1,103.00 / $1,103.00	Professional		$1,103.00	$1,103.00	$1,103.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.16 / $942.35 / $1,838.98	Facility		$704.16	$942.35	$1,838.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.42 / $982.78 / $1,631.44	Professional		$734.42	$982.78	$1,631.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $820.17 / $1,267.54	Professional		$588.62	$820.17	$1,267.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $595.20 / $680.94 / $941.58	Professional		$595.20	$680.94	$941.58