Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $2,768.00 / $7,542.00	Facility		$661.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.04 / $454.36 / $725.32	Professional		$381.04	$454.36	$725.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,716.57 / $5,381.57	Facility		$1,530.22	$2,716.57	$5,381.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.46 / $537.26 / $732.11	Professional		$424.46	$537.26	$732.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $476.52 / $488.02	Facility		$80.00	$476.52	$488.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $525.24	Facility		$525.24	$525.24	$525.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.73 / $584.76 / $840.84	Professional		$417.73	$584.76	$840.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,619.23 / $11,500.00 / $16,394.00	Facility		$2,619.23	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.12 / $3,302.72 / $4,114.43	Professional		$3,239.12	$3,302.72	$4,114.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.20 / $486.36 / $813.41	Facility		$387.20	$486.36	$813.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.91 / $685.10 / $849.52	Professional		$570.91	$685.10	$849.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.10 / $554.21 / $603.04	Professional		$413.10	$554.21	$603.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.59 / $486.37 / $867.70	Facility		$389.59	$486.37	$867.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.48 / $605.01 / $904.57	Professional		$433.48	$605.01	$904.57
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.38 / $449.90 / $699.96	Professional		$345.38	$449.90	$699.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $439.59 / $610.29	Professional		$389.81	$439.59	$610.29