Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,219.00 / $10,893.00	Facility		$732.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.19 / $500.40 / $806.83	Professional		$390.19	$500.40	$806.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,194.54 / $6,406.00	Facility		$1,799.46	$3,194.54	$6,406.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $530.16 / $724.68	Professional		$417.28	$530.16	$724.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $391.29 / $391.29 / $408.50	Facility		$391.29	$391.29	$408.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.40 / $571.05 / $864.03	Professional		$433.40	$571.05	$864.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,355.68 / $3,461.76 / $3,818.10	Professional		$3,355.68	$3,461.76	$3,818.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.07 / $562.04 / $852.12	Facility		$439.07	$562.04	$852.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $669.57 / $4,663.00	Professional		$432.01	$669.57	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $501.83 / $570.12	Professional		$458.47	$501.83	$570.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.07 / $580.39 / $918.10	Facility		$439.07	$580.39	$918.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.29 / $592.91 / $883.84	Professional		$433.29	$592.91	$883.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.60 / $474.22 / $707.85	Professional		$357.60	$474.22	$707.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.97 / $432.01 / $605.12	Professional		$380.97	$432.01	$605.12