Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,766.00 / $13,004.00	Facility		$983.00	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.20 / $996.84 / $1,423.14	Professional		$875.20	$996.84	$1,423.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.54 / $1,639.72 / $4,679.39	Facility		$967.54	$1,639.72	$4,679.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.24 / $1,165.48 / $1,617.54	Professional		$917.24	$1,165.48	$1,617.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $920.77 / $920.77 / $920.77	Facility		$920.77	$920.77	$920.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.19 / $1,317.79 / $2,009.59	Professional		$1,000.19	$1,317.79	$2,009.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,112.40	Facility		$55.00	$55.00	$9,112.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.69 / $1,255.16 / $2,159.14	Facility		$950.69	$1,255.16	$2,159.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.83 / $1,492.13 / $1,755.45	Professional		$1,267.83	$1,492.13	$1,755.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.20 / $1,351.20 / $1,351.20	Professional		$1,351.20	$1,351.20	$1,351.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $953.26 / $1,255.61 / $2,437.56	Facility		$953.26	$1,255.61	$2,437.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.19 / $1,347.52 / $2,152.77	Professional		$1,000.19	$1,347.52	$2,152.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.35 / $1,080.85 / $1,696.60	Professional		$784.35	$1,080.85	$1,696.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $832.35 / $948.76 / $1,313.51	Professional		$832.35	$948.76	$1,313.51