Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,174.00 / $10,639.00	Facility		$625.00	$3,174.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.07 / $463.12 / $768.35	Professional		$304.07	$463.12	$768.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,192.64	Facility		$1,664.27	$3,057.62	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.19 / $451.11 / $699.09	Professional		$299.19	$451.11	$699.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $283.83 / $495.54	Facility		$283.83	$283.83	$495.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $485.84 / $729.90	Professional		$328.53	$485.84	$729.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.17 / $26,542.00 / $26,542.00	Facility		$2,253.17	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,386.08 / $3,700.00 / $4,015.05	Professional		$2,386.08	$3,700.00	$4,015.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.93 / $478.03 / $743.79	Facility		$327.93	$478.03	$743.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.12 / $541.09 / $790.74	Professional		$350.12	$541.09	$790.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.63 / $446.11 / $583.82	Professional		$314.63	$446.11	$583.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.93 / $483.83 / $821.75	Facility		$327.93	$483.83	$821.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $496.29 / $750.18	Professional		$335.94	$496.29	$750.18
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 $354.90 / $464.57 / $689.67	Professional		$354.90	$464.57	$689.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $446.11 / $631.13	Professional		$396.98	$446.11	$631.13