Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $3,596.00 / $12,281.00	Facility		$649.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $641.51 / $1,022.52	Professional		$540.49	$641.51	$1,022.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.21 / $744.53 / $1,014.55	Professional		$588.21	$744.53	$1,014.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $601.95 / $619.33	Facility		$80.00	$601.95	$619.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Facility		$724.03	$724.03	$724.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.78 / $844.06 / $1,234.21	Professional		$607.78	$844.06	$1,234.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,649.40	Facility		$55.00	$55.00	$6,649.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.80 / $4,637.92 / $5,529.60	Professional		$4,538.80	$4,637.92	$5,529.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.36 / $749.09 / $1,205.91	Facility		$595.36	$749.09	$1,205.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $782.79 / $939.35 / $1,164.79	Professional		$782.79	$939.35	$1,164.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $718.33 / $742.20 / $780.72	Professional		$718.33	$742.20	$780.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.96 / $750.34 / $1,218.59	Facility		$596.96	$750.34	$1,218.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.78 / $873.50 / $1,269.16	Professional		$607.78	$873.50	$1,269.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $662.24 / $1,055.30	Professional		$491.93	$662.24	$1,055.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.47 / $607.78 / $839.36	Professional		$534.47	$607.78	$839.36