Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,596.00 / $10,836.00	Facility		$732.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $623.79 / $903.11	Professional		$542.79	$623.79	$903.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.67 / $6,791.75 / $13,369.92	Facility		$3,801.67	$6,791.75	$13,369.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.74 / $729.01 / $1,011.78	Professional		$573.74	$729.01	$1,011.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $538.30 / $538.30 / $538.30	Facility		$538.30	$538.30	$538.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.22 / $844.62 / $1,300.09	Professional		$621.22	$844.62	$1,300.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,463.84 / $4,604.80 / $5,233.35	Professional		$4,463.84	$4,604.80	$5,233.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.25 / $781.78 / $1,322.50	Facility		$600.25	$781.78	$1,322.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.67 / $923.49 / $1,086.46	Professional		$784.67	$923.49	$1,086.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.25 / $788.10 / $1,577.23	Facility		$600.25	$788.10	$1,577.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.22 / $855.53 / $1,373.94	Professional		$621.22	$855.53	$1,373.94
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 $504.61 / $689.96 / $1,089.00	Professional		$504.61	$689.96	$1,089.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $515.15 / $587.48 / $812.79	Professional		$515.15	$587.48	$812.79