Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,219.00 / $10,836.00	Facility		$797.00	$3,219.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.03 / $841.71 / $1,229.85	Professional		$720.03	$841.71	$1,229.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.90 / $4,648.55 / $8,300.99	Facility		$2,263.90	$4,648.55	$8,300.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $947.59 / $1,558.32	Professional		$627.54	$947.59	$1,558.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $692.78 / $692.78 / $692.78	Facility		$692.78	$692.78	$692.78
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 $799.49 / $1,053.70 / $1,627.57	Professional		$799.49	$1,053.70	$1,627.57
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 $5,692.00 / $5,818.24 / $6,501.30	Professional		$5,692.00	$5,818.24	$6,501.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $763.52 / $1,031.55 / $1,726.70	Facility		$763.52	$1,031.55	$1,726.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $987.35 / $1,162.04 / $1,367.10	Professional		$987.35	$1,162.04	$1,367.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.40 / $1,176.40 / $1,176.40	Professional		$1,176.40	$1,176.40	$1,176.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.52 / $1,031.55 / $1,977.06	Facility		$763.52	$1,031.55	$1,977.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $799.49 / $1,073.08 / $1,643.20	Professional		$799.49	$1,073.08	$1,643.20
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 $651.91 / $888.29 / $1,422.82	Professional		$651.91	$888.29	$1,422.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $741.99 / $1,025.28	Professional		$648.21	$741.99	$1,025.28