Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $10,836.00	Facility		$803.00	$3,219.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.17 / $879.72 / $1,264.15	Professional		$754.17	$879.72	$1,264.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.94 / $4,702.74 / $8,995.25	Facility		$2,595.94	$4,702.74	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.12 / $874.47 / $1,621.31	Professional		$635.12	$874.47	$1,621.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $727.97 / $727.97 / $727.97	Facility		$727.97	$727.97	$727.97
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 $841.90 / $1,103.79 / $1,704.10	Professional		$841.90	$1,103.79	$1,704.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,737.00 / $7,737.00 / $7,737.00	Professional		$7,737.00	$7,737.00	$7,737.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $1,088.13 / $1,809.23	Facility		$803.60	$1,088.13	$1,809.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.86 / $1,217.96 / $1,432.89	Professional		$1,034.86	$1,217.96	$1,432.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.59 / $1,296.59 / $1,296.59	Professional		$1,296.59	$1,296.59	$1,296.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $1,104.08 / $2,100.21	Facility		$803.60	$1,104.08	$2,100.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.90 / $1,124.80 / $1,861.96	Professional		$841.90	$1,124.80	$1,861.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.53 / $938.48 / $1,486.20	Professional		$682.53	$938.48	$1,486.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $679.40 / $777.46 / $1,074.79	Professional		$679.40	$777.46	$1,074.79