Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,244.00 / $7,542.00	Facility		$569.00	$2,244.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.44 / $551.26 / $841.88	Professional		$487.44	$551.26	$841.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.67 / $1,013.00 / $18,738.00	Facility		$299.67	$1,013.00	$18,738.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.29 / $233.28 / $233.28	Professional		$198.29	$233.28	$233.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $3,603.00 / $6,702.00	Facility		$648.78	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.08 / $766.85 / $1,134.09	Professional		$579.08	$766.85	$1,134.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $9,172.24	Facility		$5,897.00	$5,897.00	$9,172.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,119.04 / $4,216.88 / $4,935.14	Professional		$4,119.04	$4,216.88	$4,935.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.19 / $644.12 / $1,011.93	Facility		$497.19	$644.12	$1,011.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.57 / $1,950.00 / $6,634.00	Professional		$483.57	$1,950.00	$6,634.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $636.83 / $836.97 / $1,076.35	Professional		$636.83	$836.97	$1,076.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.82 / $670.68 / $1,033.36	Facility		$505.82	$670.68	$1,033.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.91 / $768.29 / $1,163.96	Professional		$560.91	$768.29	$1,163.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,722.00 / $12,661.00	Facility		$1,693.00	$5,722.00	$12,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $348.80 / $570.52	Professional		$251.70	$348.80	$570.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $483.57 / $518.94 / $693.86	Professional		$483.57	$518.94	$693.86