Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.51 / $445.49 / $652.99	Professional		$383.51	$445.49	$652.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.34 / $4,648.55 / $8,240.61	Facility		$2,221.34	$4,648.55	$8,240.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.79 / $447.97 / $686.31	Professional		$347.79	$447.97	$686.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $376.38 / $376.38 / $376.38	Facility		$376.38	$376.38	$376.38
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 $427.82 / $559.21 / $864.10	Professional		$427.82	$559.21	$864.10
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 $3,439.00 / $3,439.00 / $3,483.45	Professional		$3,439.00	$3,439.00	$3,483.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.18 / $534.73 / $919.13	Facility		$410.18	$534.73	$919.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $621.59 / $731.29	Professional		$528.15	$621.59	$731.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $631.70 / $631.70	Professional		$631.70	$631.70	$631.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.18 / $541.84 / $1,053.75	Facility		$410.18	$541.84	$1,053.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.82 / $568.69 / $941.93	Professional		$427.82	$568.69	$941.93
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 $345.88 / $475.59 / $736.84	Professional		$345.88	$475.59	$736.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $395.75 / $548.84	Professional		$346.74	$395.75	$548.84