Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,026.96 / $1,581.25	Professional		$698.66	$1,026.96	$1,581.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $4,940.75 / $9,318.64	Facility		$2,828.92	$4,940.75	$9,318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.48 / $1,048.07 / $1,435.45	Professional		$846.48	$1,048.07	$1,435.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $801.17 / $801.17 / $837.01	Facility		$801.17	$801.17	$837.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.81 / $1,067.24 / $1,485.26	Professional		$805.81	$1,067.24	$1,485.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.48 / $6,926.24 / $7,611.30	Professional		$6,650.48	$6,926.24	$7,611.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.76 / $1,025.68 / $1,476.22	Facility		$800.76	$1,025.68	$1,476.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.73 / $1,330.41 / $5,306.00	Professional		$854.73	$1,330.41	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,001.61 / $2,048.73	Professional		$824.00	$1,001.61	$2,048.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.01 / $1,032.17 / $1,759.97	Facility		$807.01	$1,032.17	$1,759.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.42 / $1,091.16 / $1,639.54	Professional		$826.42	$1,091.16	$1,639.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.74 / $866.15 / $1,269.47	Professional		$634.74	$866.15	$1,269.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.98 / $854.73 / $1,203.26	Professional		$756.98	$854.73	$1,203.26