Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,783.00 / $7,542.00	Facility		$669.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.32 / $612.53 / $974.51	Professional		$510.32	$612.53	$974.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.64 / $2,716.57 / $5,282.44	Facility		$1,478.64	$2,716.57	$5,282.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.37 / $645.90 / $962.67	Professional		$488.37	$645.90	$962.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $621.13 / $641.47	Facility		$80.00	$621.13	$641.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $704.17	Facility		$704.17	$704.17	$704.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.04 / $802.67 / $1,191.06	Professional		$598.04	$802.67	$1,191.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,278.59 / $11,500.00 / $16,394.00	Facility		$5,278.59	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,324.00 / $4,416.88 / $5,532.98	Professional		$4,324.00	$4,416.88	$5,532.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $526.03 / $665.31 / $1,110.64	Facility		$526.03	$665.31	$1,110.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.40 / $936.85 / $1,138.92	Professional		$765.40	$936.85	$1,138.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $572.40 / $572.40	Professional		$572.40	$572.40	$572.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.03 / $668.99 / $1,228.03	Facility		$526.03	$668.99	$1,228.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $822.78 / $1,237.60	Professional		$609.00	$822.78	$1,237.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.69 / $631.59 / $997.91	Professional		$473.69	$631.59	$997.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.60 / $590.61 / $816.62	Professional		$522.60	$590.61	$816.62