Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $12,281.00	Facility		$969.00	$3,925.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $4,264.27 / $7,181.88	Professional		$739.35	$4,264.27	$7,181.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,216.45 / $12,351.33 / $24,526.51	Facility		$7,216.45	$12,351.33	$24,526.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.01 / $4,397.18 / $8,963.14	Professional		$698.01	$4,397.18	$8,963.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.63 / $676.63 / $676.63	Facility		$676.63	$676.63	$676.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,934.44 / $9,934.44 / $9,934.44	Facility		$9,934.44	$9,934.44	$9,934.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.25 / $2,678.52 / $11,095.49	Professional		$859.25	$2,678.52	$11,095.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,939.76 / $26,542.00 / $26,542.00	Facility		$9,939.76	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,387.81 / $38,986.00 / $45,978.08	Professional		$20,387.81	$38,986.00	$45,978.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.59 / $1,807.82 / $10,196.98	Facility		$781.59	$1,807.82	$10,196.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $967.58 / $5,800.80 / $9,228.54	Professional		$967.58	$5,800.80	$9,228.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.30 / $1,522.30 / $1,522.30	Professional		$1,522.30	$1,522.30	$1,522.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.59 / $1,853.00 / $10,365.52	Facility		$781.59	$1,853.00	$10,365.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.78 / $4,252.52 / $11,365.79	Professional		$865.78	$4,252.52	$11,365.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,486.00 / $26,298.00	Facility		$4,600.00	$9,486.00	$26,298.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,847.16 / $6,651.55 / $10,769.18	Professional		$1,847.16	$6,651.55	$10,769.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,500.72 / $5,007.02 / $7,162.06	Professional		$4,500.72	$5,007.02	$7,162.06