Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,219.00 / $10,893.00	Facility		$748.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $535.40 / $841.12	Professional		$413.51	$535.40	$841.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.08 / $5,003.30 / $9,224.83	Facility		$2,783.08	$5,003.30	$9,224.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.85 / $614.29 / $958.35	Professional		$443.85	$614.29	$958.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $406.11 / $406.11 / $423.83	Facility		$406.11	$406.11	$423.83
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 $458.15 / $602.09 / $909.33	Professional		$458.15	$602.09	$909.33
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 $3,533.68 / $3,648.72 / $4,002.23	Professional		$3,533.68	$3,648.72	$4,002.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.31 / $584.79 / $865.35	Facility		$468.31	$584.79	$865.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.66 / $703.53 / $5,306.00	Professional		$454.66	$703.53	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $428.35 / $481.94 / $585.79	Professional		$428.35	$481.94	$585.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.31 / $591.05 / $934.93	Facility		$468.31	$591.05	$934.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.48 / $623.83 / $933.70	Professional		$455.48	$623.83	$933.70
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 $377.33 / $498.31 / $743.84	Professional		$377.33	$498.31	$743.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $454.66 / $635.86	Professional		$400.29	$454.66	$635.86