Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $12,480.00	Facility		$803.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.54 / $544.45 / $877.59	Professional		$425.54	$544.45	$877.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.83 / $4,846.93 / $9,318.64	Facility		$2,508.83	$4,846.93	$9,318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $576.39 / $787.86	Professional		$453.66	$576.39	$787.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $418.82 / $418.82 / $437.21	Facility		$418.82	$418.82	$437.21
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 $483.71 / $627.03 / $941.91	Professional		$483.71	$627.03	$941.91
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 $6,848.00 / $6,848.00 / $6,848.00	Professional		$6,848.00	$6,848.00	$6,848.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.55 / $661.74 / $1,350.00	Facility		$487.55	$661.74	$1,350.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.95 / $728.28 / $5,306.00	Professional		$470.95	$728.28	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $512.14 / $595.84	Professional		$447.63	$512.14	$595.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.55 / $672.39 / $1,428.27	Facility		$487.55	$672.39	$1,428.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.31 / $650.41 / $960.89	Professional		$474.31	$650.41	$960.89
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 $390.48 / $515.13 / $756.56	Professional		$390.48	$515.13	$756.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $414.38 / $470.95 / $658.19	Professional		$414.38	$470.95	$658.19