Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,040.00	Facility		$921.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.17 / $833.81 / $1,179.58	Professional		$738.17	$833.81	$1,179.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.83 / $2,816.76 / $5,934.69	Facility		$1,629.83	$2,816.76	$5,934.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.37 / $756.87 / $872.89	Professional		$722.37	$756.87	$872.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $712.24 / $712.24 / $712.24	Facility		$712.24	$712.24	$712.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $1,077.79 / $1,614.31	Professional		$819.80	$1,077.79	$1,614.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $26,542.00 / $26,542.00	Facility		$5,444.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,839.68 / $5,965.36 / $6,670.88	Professional		$5,839.68	$5,965.36	$6,670.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $786.60 / $1,008.34 / $1,770.26	Facility		$786.60	$1,008.34	$1,770.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,192.22 / $1,402.61	Professional		$1,013.00	$1,192.22	$1,402.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.30 / $1,166.30 / $1,166.30	Professional		$1,166.30	$1,166.30	$1,166.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.60 / $1,011.79 / $2,027.69	Facility		$786.60	$1,011.79	$2,027.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $1,085.16 / $1,683.26	Professional		$819.80	$1,085.16	$1,683.26
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 $667.80 / $884.54 / $1,419.08	Professional		$667.80	$884.54	$1,419.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $761.02 / $1,052.04	Professional		$665.05	$761.02	$1,052.04