Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,759.00 / $8,328.00	Facility		$652.00	$2,759.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $430.52 / $738.30	Professional		$362.54	$430.52	$738.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,204.14 / $25,600.48 / $52,191.95	Facility		$14,204.14	$25,600.48	$52,191.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $498.48 / $699.20	Professional		$402.61	$498.48	$699.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $448.62 / $461.62	Facility		$80.00	$448.62	$461.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $500.69 / $500.69	Facility		$500.69	$500.69	$500.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.47 / $554.60 / $837.17	Professional		$418.47	$554.60	$837.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.14 / $16,394.00 / $88,126.75	Facility		$2,500.14	$16,394.00	$88,126.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.78 / $8,570.73 / $8,570.73	Professional		$3,929.78	$8,570.73	$8,570.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.02 / $500.69 / $862.42	Facility		$398.02	$500.69	$862.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.23 / $653.07 / $809.81	Professional		$544.23	$653.07	$809.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $428.10 / $561.52 / $744.66	Professional		$428.10	$561.52	$744.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.02 / $502.70 / $907.76	Facility		$398.02	$502.70	$907.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.95 / $564.91 / $874.65	Professional		$430.95	$564.91	$874.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,152.00 / $13,691.00 / $39,346.00	Facility		$6,152.00	$13,691.00	$39,346.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $444.62 / $715.38	Professional		$322.73	$444.62	$715.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $419.60 / $581.07	Professional		$371.58	$419.60	$581.07