Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $4,149.00 / $11,210.00	Facility		$975.00	$4,149.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.93 / $462.64 / $677.95	Professional		$397.93	$462.64	$677.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,492.25 / $14,501.13	Facility		$4,156.99	$7,492.25	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $495.96 / $690.98	Professional		$391.83	$495.96	$690.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $389.06 / $389.06 / $389.06	Facility		$389.06	$389.06	$389.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.81 / $574.34 / $878.03	Professional		$442.81	$574.34	$878.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,152.08 / $3,221.84 / $3,605.93	Professional		$3,152.08	$3,221.84	$3,605.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $547.41 / $947.39	Facility		$424.26	$547.41	$947.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $643.87 / $757.49	Professional		$547.08	$643.87	$757.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Professional		$564.00	$564.00	$564.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $554.28 / $1,100.54	Facility		$424.26	$554.28	$1,100.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $582.92 / $903.37	Professional		$443.49	$582.92	$903.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.14 / $472.55 / $758.93	Professional		$357.14	$472.55	$758.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $410.19 / $568.47	Professional		$359.17	$410.19	$568.47